REBECCA KATHLEEN DAVIS (NPI# 1063858702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063858702 |
| Entity Type | Individual |
| Full Name | REBECCA KATHLEEN DAVIS |
| Credential | LCSW |
| Practice Address |
4201 Carlisle Blvd Ne Albuquerque NM 87107-4808 |
| Practice Telephone | 5057171332 |
| Mailing Telephone | 5057171332 |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2020-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C-11010 | NM | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
M-10002 | NM | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477164580 | Rebecca Diane Davis | Physician Assistant | 701 S. 19th St, Lhr 112, Birmingham, AL 35233 | 2020-08-12 |
| 1720698178 | Rebecca Jean Davis | Technician | 4534 Blankenship Rd, Huntington, WV 25701-9763 | 2020-07-31 |
| 1154978724 | Rebecca Davis | Dietitian, Registered | 83 N English Rd, Vineyard, UT 84059-5645 | 2019-08-19 |
| 1245797828 | Rebecca Evelyn Davis | Occupational Therapy Assistant | 715 S Market St, Carthage, TX 75633-3007 | 2019-03-01 |
| 1861981987 | Rebecca Neale Davis | Speech-Language Pathologist | 12481 Church Rd, Henrico, VA 23233-2252 | 2018-05-03 |
| 1356841332 | Rebecca Marie Davis | Occupational Therapist | 251 Johnston St Se Ste 200, Decatur, AL 35601-2515 | 2018-02-16 |
| 1639694508 | Rebecca Davis | Driver | 28698 Prince Edward Hwy, Burkeville, VA 23922-3441 | 2017-08-11 |
| 1700306768 | Rebecca Lynn Davis | Counselor | 950 Lavers Cir Apt F403, Delray Beach, FL 33444-7837 | 2017-06-21 |
| 1487182838 | Rebecca Davis | Student in an Organized Health Care Education/Training Program | 6600 Van Aalst Blvd Bldg 9205, Fort Benning, GA 31905-2102 | 2017-05-30 |
| 1427584457 | Rebecca Hendley Davis | Prevention Professional | 534 New Bedford Rd, Rochester, MA 02770-4100 | 2017-05-11 |
| Street Address |
4201 CARLISLE BLVD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87107-4808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659512309 | Rene Gonzalez | Psychiatry & Neurology | 4201 Carlisle Blvd Ne, Albuquerque, NM 87107-4808 | 2009-03-10 |
| 1902425960 | Patrick James Manzanares | Social Worker | 4201 Carlisle Blvd Ne, Albuquerque, NM 87107-4808 | 2020-04-10 |
| 1659902138 | Christopher R O'donnell | Nurse Practitioner | 4201 Carlisle Blvd Ne, Albuquerque, NM 87107-4808 | 2020-02-03 |
| 1053953547 | Brian M Mabary | Counselor | 4201 Carlisle Blvd Ne, Albuquerque, NM 87107-4808 | 2019-10-16 |
| 1447803242 | David Arnold | Pharmacist | 4201 Carlisle Blvd Ne, Albuquerque, NM 87107-4808 | 2019-07-20 |
| 1427614403 | Britton Solomon | Social Worker | 4201 Carlisle Blvd Ne, Albuquerque, NM 87107-4808 | 2019-05-15 |
| 1376106740 | Morgan E Ortiz | Counselor | 4201 Carlisle Blvd Ne, Albuquerque, NM 87107-4808 | 2019-04-20 |
| 1265938203 | High Desert Healing | Social Worker | 4201 Carlisle Blvd Ne, Albuquerque, NM 87107-4808 | 2018-03-30 |
| 1316449119 | High Desert Healing | Counselor | 4201 Carlisle Blvd Ne, Albuquerque, NM 87107-4808 | 2018-03-07 |
| 1619489564 | Lauren Gomez | Social Worker | 4201 Carlisle Blvd Ne, Albuquerque, NM 87107-4808 | 2017-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589785 | Benjamin Argant | Behavior Technician | 331 Candelaria Road North East Suite A, Albuquerque, NM 87107 | 2020-08-20 |
| 1679138861 | Susan Luna, Lpcc LLC | Counselor | 3221 B Candelaria Ne, Albuquerque, NM 87107 | 2019-05-03 |
| 1407310881 | Eleanor Cloe Tibbetts | Speech-Language Pathologist | 7103 4th St. Nw Chatterbox Speech Therapy, Los Ranchos, NM 87107 | 2019-01-30 |
| 1386174829 | Triple D Medical Transportation, LLC. | Secured Medical Transport (VAN) | 2123 Menaul Blvd Ne Ste B, Albuquerque, NM 87107 | 2017-06-18 |
| 1487100715 | Kayleen Weinandt | Community/Behavioral Health | 3301 Los Arboles Ne, Albuquerque, NM 87107 | 2016-08-28 |
| 1811345549 | Inverse Medical, LLC | Non-emergency Medical Transport (VAN) | 1015 Cottonwood Dr. Suite J, Albuquerque, NM 87107 | 2016-06-03 |
| 1710349220 | Evolv Strong, LLC | Specialist/Technologist | 3201 Candelaria Rd Ne, Albuquerque, NM 87107 | 2016-03-23 |
| 1982072443 | Erik Robinson | Social Worker | 7801 Academy Road, Ne 2-200, Albueruque, NM 87107 | 2015-09-14 |
| 1033505763 | Sam Newmon Ma, Lpcc | Counselor | 320-h Osuna Rd Ne, Suite 4, Albuquerque, NM 87107 | 2015-04-09 |
| 1760896203 | Jocelyn Fiaschetti | Social Worker | 7704 4th Street Nw, Albuquerque, NM 87107 | 2014-06-12 |
| Find all providers in zip 87107 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870346 | Erin Lilly Lcsw LLC | Social Worker | 3321b Candelaria Rd Ne Ste 406, Albuquerque, NM 87107-1908 | 2020-10-30 |
| 1659971919 | Erica Denise Ortiz | Social Worker | 6212 Casa Blanca Dr Nw, Albuquerque, NM 87120 | 2020-10-27 |
| 1316545478 | Amy Flinko | Social Worker | 3604 Britt St Ne, Albuquerque, NM 87111-4983 | 2020-10-12 |
| 1558976597 | Skt Counseling LLC | Social Worker | 4620 Hannett Ave Ne, Albuquerque, NM 87110-5014 | 2020-09-15 |
| 1881209948 | Carolyn Marie Peck | Social Worker | 231 Carlisle Blvd Ne, Albuquerque, NM 87106-1348 | 2020-09-14 |
| 1619587839 | Aureaariel Cardiel | Social Worker | 116 Industrial Ave Ne, Albuquerque, NM 87107-2229 | 2020-08-03 |
| 1376153593 | Janette Dejesus | Social Worker | 116 Industrial Ave Ne Ste B, Albuquerque, NM 87107-2229 | 2020-08-03 |
| 1235748096 | Gabrielle Monique Maldonado | Social Worker | 2535 Mervosh Ave Sw, Albuquerque, NM 87105-4821 | 2020-07-28 |
| 1770191033 | Rosemary Laurel Bauman | Social Worker | 1515 Los Jardines Pl Nw, Albuquerque, NM 87104-2317 | 2020-07-22 |
| 1164047841 | Jonathan Wilks, Lcsw, LLC | Social Worker | 4300 Woodrose Rd Nw, Albuquerque, NM 87114-5578 | 2020-06-09 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87107 |
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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.