Lillian S Davis

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C016088 Issued in NC

Practice address

1829 E Franklin St Ste 1200B
Chapel Hill, NC 27514-5838

Phone

(910) 725-6331

NPI assigned

Jun 12, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mosaic Hearts LLC

  • Adult Mental Health Clinic/Center
  • Durham, NC
  • NPI 1790555357
  NPD Authorized official
• Forward Wellness Counseling and Consulting Services LLC

  • Public Health or Welfare Agency
  • Pittsburgh, PA
  • NPI 1679947659
  NPD (past)

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1982229233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 E FRANKLIN ST STE 1200B",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275145838",
            "telephone_number": "910-725-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 E FRANKLIN ST STE 1200B",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275145838",
            "telephone_number": "910-725-6331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152192107",
            "country_code": "US",
            "telephone_number": "412-660-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LILLIAN",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW023424",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C016088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Marc Davis, P.T., ATC
• Karen Pamela Davis, M.D.
• Kathryn Davis
• Kiara Davis, NP
• Kyle Davis, MD
• Meredith Perdue Davis, DDS
• Olivia Claire Davis
• Phillip Davis Sr.
• Rashon Davis, MS,NCC,LCMHCA
• Richard M Davis, M.D.

• Clinical Social Worker in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.