Mary Carla Davis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

961 Issued in TN

Practice address

5840 Lake Resort Ter Apt F207
Chattanooga, TN 37415-2652

Phone

(423) 877-5631

Fax

(423) 877-5631

NPI assigned

Aug 7, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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 1

Specialty

Clinical Social Worker

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1962411934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5840 LAKE RESORT TER APT F207",
            "address_2": "APT F207",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374152652",
            "telephone_number": "423-877-5631",
            "fax_number": "423-877-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5840 LAKE RESORT TER APT F207",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374152652",
            "telephone_number": "423-877-5631",
            "fax_number": "423-877-5631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5873 Lake Resort Ter Apt D201",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374152788",
            "country_code": "US",
            "telephone_number": "423-877-5631",
            "fax_number": "423-877-5631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MARY",
        "middle_name": "CARLA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "961",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "3070",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3693461",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristy Davis, FNP-C
• Laura Davis, CRNA
• Leslie Susan Davis, LPC-MHSP
• Locke H Davis, CPO
• Mary Davis, OT
• Michael G Davis, MD
• Rachel Davis, FNP-C
• Rachel Katherine Davis
• Rachel Sierra Davis, MS, TEMP LPC/MHSP
• Sarah Lynne Davis, MS

• Clinical Social Worker in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.