CLANCY DAVIS
NPI 1023488392
Peer Specialist in Ada, OK

Q: What is Clancy Davis's NPI number?

The NPI number for Clancy Davis is 1023488392. It was assigned to this individual provider in the NPPES registry on September 30, 2015.

Q: What is Clancy Davis's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Clancy Davis was last updated on September 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 30, 2015

124 SOUTH BROADWAY, SUITE 200, ADA, OK 74820(580) 332-3001(580) 332-8774 Get Directions Write a Review

NPPES record last updated: September 30, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Clancy Davis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLANCY DAVIS (NPI 1023488392) is an individual peer specialist in Ada, Oklahoma and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1023488392

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameCLANCY DAVIS

Location Address124 SOUTH BROADWAY, SUITE 200Ada, OK 74820-0000

Mailing Address124 South Broadway, Suite 200Ada, OK 74820-0000 · (580) 332-3001 · Fax (580) 332-8774

Phone(580) 332-3001

Fax(580) 332-8774

Sole ProprietorNo

Enumeration DateSeptember 30, 2015

✔ NPI 1023488392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

124 SOUTH BROADWAY, Ada, OK 74820

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALL ABOUT YOU LLC

Day Training, Developmentally Disabled Services

124 SOUTH BROADWAY, SUITE 309
ADA, OK 74820

Pontotoc County (580) 310-0444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clancy Davis's NPI number?

The NPI number for Clancy Davis is 1023488392. It was assigned to this individual provider in the NPPES registry on September 30, 2015.

Where is Clancy Davis located?

Clancy Davis practices at 124 South Broadway Suite 200, Ada, OK 74820. The listed phone number is (580) 332-3001.

What is Clancy Davis's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Clancy Davis was last updated on September 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.