Katherine Jissel Davila-Rodriguez

Primary specialty

Social WorkerTaxonomy code 104100000X

License

122217 Issued in NY

Practice address

57 W Burnside Ave
Bronx, NY 10453-4038

Phone

(718) 839-8900

Fax

(718) 299-4030

NPI assigned

Dec 1, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Katherine Jissel Davila Orellana Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: katherine.davila.p1@direct.mhhc.nextgenshare.com

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.

• Sentinel Services Group Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Spring Valley, NY
  • NPI 1144891375
  NPD (past)

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1942076716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 W BURNSIDE AVE FL B1",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534038",
            "telephone_number": "718-839-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 W BURNSIDE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534038",
            "telephone_number": "718-839-8900",
            "fax_number": "718-299-4030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "232 N Main St",
            "address_purpose": "LOCATION",
            "city": "Spring Valley",
            "state": "NY",
            "postal_code": "109774020",
            "country_code": "US",
            "telephone_number": "845-286-2210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVILA-RODRIGUEZ",
        "first_name": "KATHERINE",
        "middle_name": "JISSEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-01",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "122217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "DAVILA ORELLANA",
            "middle_name": "JISSEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Lynn Davies, L.M.S.W.
• Joyce Davies, LPN
• Nicolas Davila Katz, MD
• Juan Alexander Davila Rivera
• Ricardo Manuel Davila Vasquez, MD
• Jennifer Gabriela Davila, MD
• Jessica C Davila, SOCIAL WORKER
• Jonathan Davila, M.D.
• Myra Davila, M.D.
• Rosa Davila

• Social Worker in Bronx, NY
• Providers in Bronx, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.