NICOLE DAVIS MSW, LCSW
NPI 1437932746
Social Worker in Bolivar, MO

Active since August 18, 2023PECOS EnrolledAccepts Medicare Assignment
1240 N BUTTERFIELD RD, BOLIVAR, MO 65613(417) 326-6021 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 4, 2026, Aug 18, 2023 (2 updates tracked since 2023).

About Nicole Davis Msw, Lcsw NPPES

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

NICOLE DAVIS MSW, LCSW (NPI 1437932746) is an individual social worker in Bolivar, Missouri, licensed in Missouri (2025049404) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1437932746
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameNICOLE DAVISCredential: MSW, LCSW
Location Address1240 N BUTTERFIELD RDBolivar, MO 65613-3016
Mailing Address1240 N Butterfield RdBolivar, MO 65613-3016 · (417) 326-6021
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 18, 2023
Last NPPES UpdateMay 4, 20262 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
NPI 1437932746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in MO · 2025049404
Definition

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.

1240 N BUTTERFIELD RD, Bolivar, MO 65613

Other Names 1

Former Name (1)Nicole Miles

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nicole Davis Msw, Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113379892
PECOS Enrollment IDI20240118000981
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Family Medicine
1240 N BUTTERFIELD RD
BOLIVAR, MO 65613
Family Medicine
1240 N BUTTERFIELD RD
BOLIVAR, MO 65613
Family Medicine
1240 N BUTTERFIELD RD
BOLIVAR, MO 65613
Family Medicine
1240 N BUTTERFIELD RD
BOLIVAR, MO 65613
Physician Assistant (Medical)
1240 N BUTTERFIELD RD
BOLIVAR, MO 65613
Family Medicine
1240 N BUTTERFIELD RD
BOLIVAR, MO 65613
Family Medicine
1240 N BUTTERFIELD RD
BOLIVAR, MO 65613
Nurse Practitioner (Family)
1240 N BUTTERFIELD RD
BOLIVAR, MO 65613

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437932746, enumerated as an "individual" on August 18, 2023.

The provider is located at 1240 N BUTTERFIELD RD BOLIVAR, MO 65613 and the phone number is (417) 326-6021.

Social Worker with taxonomy code 104100000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.