Individual provider Active NPI

Michelle Linette Davis

  • Clinical Social Worker
  • Xenia, OH
National Provider Identifier
1972853968
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1901877-SUPV Issued in OH
Practice address
287 Cincinnati Ave
Xenia, OH 45385-5071
Phone
(937) 376-8700
NPI assigned
Sep 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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 I.1901877-SUPV OH Primary

Addresses

Primary practice location

287 Cincinnati Ave
Xenia, OH 45385-5071

Mailing address

452 W Market St
Xenia, OH 45385-2815

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20201216002202 OH Practitioner - Clinical Social Worker 5193137115 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological & Behavioral Consultants, LLC Mental Health CurrentSince Feb 10, 2021 Accepting new patients
TCN Behavioral Health Services, Inc. Mental Health Past Accepting new patients

Locations

25101 Chagrin Blvd
Ste 100
Beachwood, OH 44122
Phone (216) 245-4468

2900 Presidential Dr
Ste 100
Beavercreek, OH 45324
Phone (513) 741-3100

10200 Alliance Rd
Ste 150
Blue Ash, OH 45242
Phone (513) 563-0488

6601 Centerville Business Pkwy
Ste 310
Dayton, OH 45459
Phone (937) 637-3765

1077 State Route 28
Ste 202
Milford, OH 45150

25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520

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": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1972853968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 W MARKET ST",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453852815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 CINCINNATI AVE",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453855071",
            "telephone_number": "937-376-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MICHELLE",
        "middle_name": "LINETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-17",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1901877-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Xenia, OH

Sources for this page

Verify at the official NPI Registry.