MARY J. DAVIS (NPI# 1003023995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003023995 |
| Entity Type | Individual |
| Full Name | MARY J. DAVIS |
| Practice Address |
Overton Brooks Va Medical Center 510 E. Stoner Avenue Shreveport LA 71101-4295 |
| Mailing Address |
700 Arlington St Ruston LA 71270-4952 |
| Practice Telephone | 3182218411 |
| Practice Fax Number | 3184295721 |
| Mailing Telephone | 3182556017 |
| Mailing Fax Number | 3184295721 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 5639 | LA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457992562 | Mary L Davis | Technician | 9946 Tracy Rd, Atoka, TN 38004-7528 | 2019-10-01 |
| 1437646775 | Mary Teresa Davis | Massage Therapist | 158 S Houston Lake Rd Ste 3, Warner Robins, GA 31088-8018 | 2018-04-20 |
| 1992218648 | Mary Davis | Technician | 2801 14th St Nw Apt 517, Washington, DC 20009-4914 | 2017-11-15 |
| 1750807152 | Mary Ann Davis | Home Health Aide | 4506 Quarles St Ne Apt B2, Washington, DC 20019-2020 | 2017-08-17 |
| 1588186290 | Mary Ann Davis | Counselor | 472 W Paseo Rio Grande, Oro Valley, AZ 85737-6877 | 2017-07-13 |
| 1003356288 | Mary Amber Davis | Nurse Anesthetist, Certified Registered | 27 Wintergreen Way, Orlando, FL 32825-3649 | 2017-03-07 |
| 1770038093 | Mary E Davis | Nurse Practitioner | 2467b Diehl Dr, Tallahassee, FL 32308-3870 | 2016-08-16 |
| 1275914392 | Mary Katherine Davis | Dentist | 1903 Ep True Pkwy, West Des Moines, IA 50265-7000 | 2015-06-15 |
| 1427448463 | Mary Davis | Massage Therapist | 28186 Highway 74, Unit 7, Evergreen, CO 80439-5775 | 2015-01-29 |
| 1972845873 | Mary Joe Davis | Counselor | 130 Jessie St, Ellwood City, PA 16117-5408 | 2013-03-19 |
| Street Address |
OVERTON BROOKS VA MEDICAL CENTER 510 E. STONER AVENUE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101-4295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831203074 | Dean Edward Robinson | Psychiatry & Neurology | Overton Brooks Va Medical Center, 510 E. Stoner Ave., Shreveport, LA 71101 | 2006-08-17 |
| 1649374786 | Subhashini Yaturu | Internal Medicine | Overton Brooks Va Medical Center, Shreveport, LA 71101 | 2006-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255988630 | Renee Jewitt | Case Manager/Care Coordinator | 1513 Line Avenue, Suite 225, Shreveport, LA 71101 | 2019-08-21 |
| 1942770094 | Bessie Larry | Case Manager/Care Coordinator | 1513 Line Av, 222, Shreveport, LA 71101 | 2018-12-03 |
| 1750875944 | Jarvis Decarleonne Larry | Community Health Worker | 1513 Line Ave # 222, Shreveport, LA 71101 | 2018-06-20 |
| 1871083485 | Kimberly B. Mcclelland, Lcsw | Counselor | 820 Jordan St. Ste 510w, Shreveport, LA 71101 | 2018-05-18 |
| 1982106456 | Hudson Amc LLC | Internal Medicine | 1800 Irving Place, Shreveport, LA 71101 | 2018-03-01 |
| 1528572955 | Spencer Ron Floyd | Counselor | 1717 Marshall Street, Shreveport, LA 71101 | 2017-11-21 |
| 1578088076 | Brittany Morris | Case Manager/Care Coordinator | 1835 Spring Street Annex Building, Shreveport, LA 71101 | 2017-08-07 |
| 1275058794 | Diane Williams | Case Manager/Care Coordinator | 217 Jones St Apt 510, Shreveport, LA 71101 | 2017-08-04 |
| 1386195972 | Jakeya Woodbury | Counselor | 453 Stoner Ave, Shreveport, LA 71101 | 2016-10-18 |
| 1922459643 | Arlene Huling | Counselor | 449 Egan Street, Shreveport, LA 71101 | 2016-06-23 |
| Find all providers in zip 71101 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790773 | De'sica Lavancer Mccray-stewart | Social Worker | 6428 Joy Dr, Shreveport, LA 71119-5110 | 2020-11-06 |
| 1811477011 | Tanesha Denise Butler | Social Worker | 3315 Warwick Dr, Shreveport, LA 71118-4323 | 2018-08-16 |
| 1417485012 | Mycheal L Mimes | Social Worker | 1500 N Market St Unit C, Shreveport, LA 71107 | 2017-05-25 |
| 1275069668 | Faniki Davis | Social Worker | 2930 W Maple St, Shreveport, LA 71109-2332 | 2017-05-04 |
| 1225579428 | Shondia Jackson | Social Worker | 9137 Mansfield Rd Apt 104, Shreveport, LA 71118-3143 | 2017-03-20 |
| 1114474327 | Daminica Richard | Social Worker | 1600 Severine Cir, Shreveport, LA 71108-3022 | 2016-09-06 |
| 1619423241 | Jaquita Hunter | Social Worker | 9100 Walker Rd, Apt. H13, Shreveport, LA 71118-2902 | 2016-09-01 |
| 1104286889 | Paulette Gorman | Social Worker | 6811 Fairfield Ave, Shreveport, LA 71106-3803 | 2016-02-24 |
| 1164895454 | Rekisha Roshela Perkins | Social Worker | 843 Ascalon St, Shreveport, LA 71106-5201 | 2015-11-09 |
| 1750753729 | Rahvi Smith | Social Worker | 4152 Calderwood Dr, Shreveport, LA 71119 | 2015-10-29 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71101 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.