Individual provider Active NPI

Angelique D Davis, LCSW

  • Clinical Social Worker
  • Murfreesboro, TN
National Provider Identifier
1972876894
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5336 Issued in TN
Practice address
320 E Main St Ste 205
Murfreesboro, TN 37130-3836
Phone
(615) 473-2815
NPI assigned
Feb 23, 2012
Last updated
Oct 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

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 5336 TN Primary

Addresses

Primary practice location

320 E Main St Ste 205
Murfreesboro, TN 37130-3836

Mailing address

320 E Main St Ste 205
Murfreesboro, TN 37130-3836
Phone (615) 473-2815

Other practice location 1

509 Crossway Ave
Murfreesboro, TN 37133-2249
Phone (615) 895-3977

Other names 1

  • Angie D Davis Other name

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
5336TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Barkley & Associates, Inc. Past Accepting new patients

Organizations & group practices 1

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": "1329955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1972876894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E MAIN ST STE 205",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371303836",
            "telephone_number": "615-473-2815",
            "fax_number": "000-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E MAIN ST STE 205",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371303836",
            "telephone_number": "615-473-2815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 Crossway Ave",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371332249",
            "country_code": "US",
            "telephone_number": "615-895-3977",
            "fax_number": "615-895-9219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ANGELIQUE",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-23",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGIE",
            "last_name": "DAVIS",
            "middle_name": "D",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; 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.