Individual provider Active NPI

Catherine Aseneth Davis, LCSW-C

  • Clinical Social Worker
  • Broomes Island, MD
National Provider Identifier
1932672268
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11399 Issued in MD
Practice address
3875 Fish Hook Dr
Broomes Island, MD 20615-3026
Phone
(410) 474-0103
NPI assigned
Jan 9, 2019
Last updated
Jan 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 11399 MD Primary
School Social Worker 1041S0200X 11399 MD

Addresses

Primary practice location

3875 Fish Hook Dr
Broomes Island, MD 20615-3026

Mailing address

3875 Fish Hook Dr
Broomes Island, MD 20615-3026
Phone (410) 474-0103

Other practice location 1

1305 Dares Beach Rd
Prince Frederick, MD 20678-4208
Phone (443) 550-9917

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11399MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Jan 14, 2025 Accepting new patients
Calvert County Public Schools Past Accepting new patients
Calvert County Public School Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1932672268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3875 FISH HOOK DR",
            "city": "BROOMES ISLAND",
            "state": "MD",
            "postal_code": "206153026",
            "telephone_number": "410-474-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3875 FISH HOOK DR",
            "city": "BROOMES ISLAND",
            "state": "MD",
            "postal_code": "206153026",
            "telephone_number": "410-474-0103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1305 Dares Beach Rd",
            "address_purpose": "LOCATION",
            "city": "Prince Frederick",
            "state": "MD",
            "postal_code": "206784208",
            "country_code": "US",
            "telephone_number": "443-550-9917",
            "fax_number": "410-286-4038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CATHERINE",
        "middle_name": "ASENETH",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-09",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11399",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MD",
            "license": "11399",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomes Island, MD

Sources for this page

Verify at the official NPI Registry.