Individual provider Active NPI

Emily Davis

  • Clinical Social Worker
  • Strongsville, OH
National Provider Identifier
1902466261
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2103284 Issued in OH
Practice address
17637 Shurmer Rd
Strongsville, OH 44136-6157
Phone
(216) 210-4041
NPI assigned
Jun 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.2103284 OH Primary

Addresses

Primary practice location

17637 Shurmer Rd
Strongsville, OH 44136-6157

Mailing address

17637 Shurmer Rd
Strongsville, OH 44136-6157
Phone (216) 210-4041

Other identifiers 1

IdentifierTypeStateIssuer
0354851MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221121001816 OH Practitioner - Clinical Social Worker 6507234671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Oasis Counseling Solutions LLCGroup PAC ID 6800284845, 3 clinicians

Practice addresses (Care Compare)

17637 Shurmer Rd
Strongsville, OH 44136-6157
Phone (216) 210-4041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2103284OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Counseling Solutions LLC Professional CurrentSince Oct 15, 2022 Accepting new patients

Locations

13443 Detroit Ave
Ste 1
Lakewood, OH 44107

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1902466261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17637 SHURMER RD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441366157",
            "telephone_number": "216-210-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17637 SHURMER RD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441366157",
            "telephone_number": "216-210-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2103284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0354851",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Strongsville, OH

Sources for this page

Verify at the official NPI Registry.