Individual provider Active NPI

Hannah M Davis

  • Clinical Social Worker
  • Silver Spring, MD
National Provider Identifier
1942829940
Registry record updated Apr 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18966 Issued in MD
Practice address
8630 Fenton St Ste 328
Silver Spring, MD 20910-3816
Phone
(240) 324-8197
NPI assigned
Apr 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 18966 MD Primary

Addresses

Primary practice location

8630 Fenton St Ste 328
Silver Spring, MD 20910-3816

Mailing address

10813 Bucknell Dr
Silver Spring, MD 20902-4325
Phone (240) 324-8197

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18966MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Wellness LLC Clinical Current Accepting new patients
The Village Youth & Family Center, Inc. CurrentSince Aug 1, 2020 Accepting new patients

Locations

8630 Fenton St
Ste 328
Silver Spring, MD 20910
Phone (301) 328-1625

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586476800000",
    "number": "1942829940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10813 BUCKNELL DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209024325",
            "telephone_number": "240-324-8197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8630 FENTON ST STE 328",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103816",
            "telephone_number": "240-324-8197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "HANNAH",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-10",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "18966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; 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.