Michelle Davidson
Individual provider Active NPI Case Manager/Care Coordinator · Trotwood, OH
NPI 1861022980 · NPPES record last updated Jan 16, 2020
Key facts
- NPI
- 1861022980
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 708 E Main St
Trotwood, OH 45426-2909 - Phone
- (844) 568-7627
- NPI assigned
- Jan 16, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clean Slate Sober Living | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
708 E Main St
Trotwood, OH 45426-2909
Mailing address
708 E Main St
Trotwood, OH 45426-2909
Phone (844) 568-7627
Other providers in Trotwood, OH
- Janya Monea Crisp
- Crystal L Dunson and Associates, Inc
- Tawnyell Nikko Culpepper
- Prince Amoabeng Danso
- Desirae Nichole Danzy
- Brian Davis
- Dawndrea Howard
- Dayton Foods Limited Partnership
- Duane Dickens
- Adriana Diggs
All providers in Trotwood, OH · Case Manager/Care Coordinator in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.