Corey Gene Skipper Davis, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL07164600 Issued in NJ

Practice address

621 Main St
Paterson, NJ 07503-3028

Phone

(941) 251-1488

NPI assigned

Feb 21, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1902602790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 BAMFORD AVE",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075062914",
            "telephone_number": "941-251-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 MAIN ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075033028",
            "telephone_number": "941-251-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIPPER DAVIS",
        "first_name": "COREY",
        "middle_name": "GENE",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL07164600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Navtarunjot Singh, MD
• Sukhdeep Singh, M.D.
• Vinisha Singhi, M.D.
• Njeri Skeete, MPA
• Skillz of New Jersey
• Rita Sklar, SRNA
• Ritsa Skordos
• Linda C Skroce, M.D.
• Sali Slim, MD
• Henry Slomowitz, DPM

• Social Worker in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.