Active NPI
Catherine Aseneth Davis, LCSW-C
- Clinical Social Worker
- Broomes Island, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11399
- Practice address
- 3875 Fish Hook Dr
Broomes Island, MD 20615-3026 - Phone
- (410) 474-0103
- NPI assigned
- Jan 9, 2019
- Last updated
- Jan 14, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11399 | MD | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current | 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.
-
- Early Intervention Provider Agency
- Prince Frederick, MD
- NPI 1336306802
-
- Local Education Agency (LEA)
- Prince Frederick, MD
- NPI 1326262973
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.