WALTER E DAVIS (NPI# 1841506276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841506276 |
| Entity Type | Individual |
| Full Name | WALTER E DAVIS |
| Credential | BS/ICCJP/ICCDP |
| Practice Address |
4728 Oxford Ave Philadelphia PA 19124-5835 |
| Mailing Address |
7419 Barclay Rd Cheltenham PA 19012-1302 |
| Practice Telephone | 2153918921 |
| Mailing Telephone | 2152818458 |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2010-08-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588299283 | Walter Davis | Community/Behavioral Health | 1380 Arbor Ave Se Apt 508, Warren, OH 44484-4448 | 2020-03-03 |
| 1639441876 | Walter Ray Davis Jr. | Dentist | 1270 Mcconnell Dr Ste B, Decatur, GA 30033-3507 | 2012-02-03 |
| 1487757977 | Walter Etchelles Davis | Specialist | 184 Virginia Street, Boone, NC 28607 | 2006-09-07 |
| 1376554642 | Walter E Davis | Dentist | 415 S York St, Muskogee, OK 74403-5955 | 2006-08-11 |
| 1306334487 | Walter Roy Davis | Physical Therapist | 406 S Main St, Winnsboro, TX 75494-3226 | 2018-04-25 |
| 1417202144 | Walter Eton Davis Jr. | Case Manager/Care Coordinator | 12512 Bruce B Downs Blvd, Tampa, FL 33612-9209 | 2012-07-18 |
| 1083768998 | Walter Pitts Davis | Marriage & Family Therapist | 4630 50th St, Suite 507, Lubbock, TX 79414-3521 | 2007-01-22 |
| 1285703801 | Walter S Davis | Physical Medicine & Rehabilitation | 1401 Johnston Willis Dr, North Chesterfield, VA 23235-4730 | 2006-11-07 |
| 1154331023 | Walter Sellers Davis | Dentist | 1610 Canyon Blvd, Boulder, CO 80302-5407 | 2006-08-09 |
| 1457300717 | Walter Davis | Psychologist | 13301 N Meridian Ave, Bldg 100, Oklahoma City, OK 73120-9369 | 2006-05-06 |
| Street Address |
4728 OXFORD AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19124-5835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508179292 | Building To Life | Counselor | 4728 Oxford Ave, Philadelphia, PA 19124-5835 | 2010-07-22 |
| 1831405265 | Anita L Davis | Case Manager/Care Coordinator | 4728 Oxford Ave, Philadelphia, PA 19124-5835 | 2010-08-23 |
| 1780997460 | Building To Life Inc. | Community/Behavioral Health | 4728 Oxford Ave, Philadelphia, PA 19124-5835 | 2010-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831749308 | William Mark Hanna Sr. | Pharmacist | 4600 Rooselvelt Blvd Bldg G, Philadelphia, PA 19124 | 2019-09-17 |
| 1881256451 | Medical Discovery Systems, LLC | Durable Medical Equipment & Medical Supplies | 5425 Oxford Ave., 5425 Oxford Ave. Suite (3 A), Philadelphia, PA 19124 | 2019-07-03 |
| 1548731391 | Sierra Pinkney | Registered Nurse | 1615 Granite St, Philadelphia, PA 19124 | 2018-12-05 |
| 1922507987 | Xavier Sergio Henriquez | Counselor | 4510 Frankford Avenue 2nd Floor, Philadelphia, PA 19124 | 2018-02-06 |
| 1558881581 | Isabel Cristina Castillo Hernandez | Pediatrics | 4500-10, Apt 201b, Philadelphia, PA 19124 | 2017-06-21 |
| 1952843732 | Patrick Grugan | Social Worker | Roosevelt Boulevard & Adams Avenue, Philadelphia, PA 19124 | 2016-11-10 |
| 1811340482 | Katarzyna Liwski | Psychiatry & Neurology | 4641 Roosevelt Boulevard, E212, Drexel University College of Medicine Friends Hospital, Philadelphia, PA 19124 | 2016-07-19 |
| 1851769327 | Aleka Kostouros | Social Worker | Roosevelt Blvd & Adams Ave, Northeast Community Center for Behavioral Health, Philadelphia, PA 19124 | 2015-09-14 |
| 1407230378 | Sara Bachani | Psychiatry & Neurology | 4641 Roosevelt Blvd, Friends Hospital, Room 231, Philadelphia, PA 19124 | 2015-07-10 |
| 1215327051 | Alyssa Renee Kirk | Counselor | 4500-10 Frankford Ave, 2nd Floor, Philadelphia, PA 19124 | 2015-02-02 |
| Find all providers in zip 19124 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386250546 | Lindsay Margarida Stiem | Case Manager/Care Coordinator | 3600 Market St Fl 6, Philadelphia, PA 19104-2669 | 2020-09-22 |
| 1023633872 | Raenita Janay Robinson | Case Manager/Care Coordinator | 3600 Market St # 6thf, Philadelphia, PA 19104-3284 | 2020-06-08 |
| 1124656467 | Desiree Driver | Case Manager/Care Coordinator | 2417 Welsh Rd Ste 209, Philadelphia, PA 19114-2211 | 2020-03-31 |
| 1497399323 | Deborah Calvert | Case Manager/Care Coordinator | 3550 Market St Fl 5, Philadelphia, PA 19104-3364 | 2019-11-04 |
| 1386298230 | Danielle Rose | Case Manager/Care Coordinator | 9586 James St # B, Philadelphia, PA 19114-3059 | 2019-07-30 |
| 1619521077 | Guiding Hands Support Coordination Services | Case Manager/Care Coordinator | 3538 Drumore Dr, Philadelphia, PA 19154-3912 | 2019-07-24 |
| 1285296806 | Rokyatou Sylla | Case Manager/Care Coordinator | 3019 S 68th St, Philadelphia, PA 19142-3321 | 2019-07-03 |
| 1578129516 | Peace and Serenity Support Services LLC | Case Manager/Care Coordinator | 4700 City Ave Apt 10305, Philadelphia, PA 19131-1572 | 2019-05-15 |
| 1750843462 | Sherri Lewis | Case Manager/Care Coordinator | 624 S Yewdall St, Philadelphia, PA 19143-2522 | 2019-04-02 |
| 1184181638 | Rafiah Williams | Case Manager/Care Coordinator | 2712b W York St, Philadelphia, PA 19132-3511 | 2019-02-20 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19124 |
Please comment or provide details below to improve the information on WALTER E DAVIS.
| 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.