MRS. RENITA DERCEL DAVIS MSW, MED
NPI 1184203341
Social Worker - School in Round Lake Beach, IL

Q: What is Renita Davis's NPI number?

The NPI number for Renita Davis is 1184203341. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Q: What is Renita Davis's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in School, with taxonomy code 1041S0200X.

Q: When was this NPI record last updated?

The NPPES record for Renita Davis was last updated on July 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 April 05, 2021

200 W COUNTRY WALK DR, ROUND LAKE BEACH, IL 60073(847) 668-7456(847) 356-1306 Get Directions Write a Review

NPPES record last updated: July 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 22, 2021, Apr 5, 2021 (2 updates tracked since 2021).

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About Mrs. Renita Dercel Davis Msw, Med NPPES

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

MRS. RENITA DERCEL DAVIS MSW, MED (NPI 1184203341) is an individual school provider in Round Lake Beach, Illinois and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1184203341

Entity TypeIndividualFemale

Primary Taxonomy1041S0200X

Provider Legal NameMRS. RENITA DERCEL DAVISCredential: MSW, MED

Location Address200 W COUNTRY WALK DRRound Lake Beach, IL 60073-4009

Mailing Address1940 N Municipal Way Unit 991Round Lake Beach, IL 60073-7939 · (847) 668-7456 · Fax (847) 356-1306

Phone(847) 668-7456

Fax(847) 356-1306

Sole ProprietorYes

Enumeration DateApril 5, 2021

Last NPPES UpdateJuly 22, 20212 updates tracked since enumeration

NPPES CertifiedJuly 22, 2021

✔ NPI 1184203341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · SchoolBehavioral Health & Social Service Providers

Taxonomy Code1041S0200X

200 W COUNTRY WALK DR, Round Lake Beach, IL 60073

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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 Renita Davis's NPI number?

The NPI number for Renita Davis is 1184203341. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Where is Renita Davis located?

Renita Davis practices at 200 W Country Walk Dr, Round Lake Beach, IL 60073. The listed phone number is (847) 668-7456.

What is Renita Davis's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in School, with taxonomy code 1041S0200X.

When was this NPI record last updated?

The NPPES record for Renita Davis was last updated on July 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.