Individual provider Active NPI

Doris N Davies

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1932767472
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
2759 Martin Luther King Jr Ave SE
Washington, DC 20032-2646
Phone
(202) 827-9961
Fax
(202) 827-9963
NPI assigned
May 30, 2019
Last updated
May 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LG50081807 DC
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

2759 Martin Luther King Jr Ave SE
Washington, DC 20032-2646

Mailing address

17 Duvall LN
Gaithersburg, MD 20877-1838
Phone (301) 254-2506

Other practice location 1

17 Duvall Ln
Gaithersburg, MD 20877-1838
Phone (301) 254-2506

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL doris.davies

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230530001704 DC Practitioner - Clinical Social Worker 4688031065 Reassigns benefits to 2 organizations
I20240515002135 MD Practitioner - Clinical Social Worker 4688031065 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LG50081807DCMDMental Health Counselor
21606MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Feb 2, 2024 Accepting new patients
New Hope Health Services, LLC CurrentSince Jan 18, 2023 Accepting new patients
Health Plus Behavioral and Primary Care CurrentSince Apr 10, 2024 Accepting new patients

Locations

2759 Martin Luther King Jr Ave SE
Washington, DC 20032
Phone (202) 827-9961

2759 Martin Luther King Jr Ave SE
Ste 301
Washington, DC 20032
Phone (202) 827-9961

115 Delaware Ave
Glen Burnie, MD 21061
Phone (240) 354-1219

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": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1932767472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 DUVALL LN",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208771838",
            "telephone_number": "301-254-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2759 MARTIN LUTHER KING JR AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200322646",
            "telephone_number": "202-827-9961",
            "fax_number": "202-827-9963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Duvall Ln",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208771838",
            "country_code": "US",
            "telephone_number": "301-254-2506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "DORIS",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DC",
            "license": "LG50081807",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "doris.davies",
            "affiliation": "N",
            "address_1": "17 Duvall Ln",
            "city": "Gaithersburg",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208771838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.