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

Q: What is Nicole Davis's NPI number?

The NPI number for Nicole Davis is 1437932746. It was assigned to this individual provider in the NPPES registry on August 18, 2023. The provider is also known as Nicole Miles.

Q: What is Nicole Davis's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Davis was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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 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: August 16, 2026.

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

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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

Phone(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

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Other Names 1

Former Name (1)Nicole Miles

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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.

BOLIVAR FAMILY CARE CENTER, LLC

Family Medicine