Farah Lindley Davis, P-LCSW

Individual provider Active NPI Clinical Social Worker · Butner, NC

NPI 1982975702 · NPPES record last updated Nov 26, 2012

Key facts

NPI
1982975702
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
P006257 (NC)
Practice address
300 Veazey Dr
Butner, NC 27509-1668
Phone
(919) 764-5213
Fax
(919) 764-5231
NPI assigned
Jan 25, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
P006257NCMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P006257 NC Yes

Addresses

Primary practice location

300 Veazey Dr
Butner, NC 27509-1668

Mailing address

399B Old Black Creek Rd
Fremont, NC 27830-9448
Phone (919) 215-0987

Other providers in Butner, NC

All providers in Butner, NC · Clinical Social Worker in North Carolina

Sources for this page

Verify at the official NPI Registry.