MS. MAKENNA LACEY DAVIS CSWA
NPI 1578142899
Social Worker - Clinical in Coos Bay, OR

Active since April 05, 2021
150 S WALL ST, COOS BAY, OR 97420(541) 435-7200 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 6, 2025, Nov 12, 2024, Apr 5, 2021 (3 updates tracked since 2021).

About Ms. Makenna Lacey Davis Cswa NPPES

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

MS. MAKENNA LACEY DAVIS CSWA (NPI 1578142899) is an individual clinical provider in Coos Bay, Oregon, licensed in Oregon (A12390) and active in the NPI registry since April 2021. She maintains a secondary practice location in Coos Bay.

NPPES Registry Identity

NPI1578142899
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. MAKENNA LACEY DAVISCredential: CSWA
Location Address150 S WALL STCoos Bay, OR 97420-3233
Mailing Address1139 California AveCoos Bay, OR 97420-1111 · (541) 525-5803
Sole ProprietorNo
Enumeration DateApril 5, 2021
Last NPPES UpdateNovember 6, 20253 updates tracked since enumeration
NPPES CertifiedNovember 6, 2025
NPI 1578142899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in OR · A12390
Definition
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.
150 S WALL ST, Coos Bay, OR 97420

Secondary Practice Location 1

Location 11900 Woodland DrCoos Bay, OR 97420-2099 · Phone (541) 267-5151

Other Identifiers 2

Medicaid500791438OR
OtherA12390OR · Clinical Social Work Associate

Other Providers at the Same Location NPPES 12

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

Counselor (Mental Health)
150 S WALL ST
COOS BAY, OR 97420
Nurse Practitioner (Psychiatric/Mental Health)
150 S WALL ST
COOS BAY, OR 97420
Social Worker
150 S WALL ST
COOS BAY, OR 97420
Social Worker (Clinical)
150 S WALL ST
COOS BAY, OR 97420
Internal Medicine
150 S WALL ST
COOS BAY, OR 97420
Family Medicine
150 S WALL ST
COOS BAY, OR 97420
Nurse Practitioner (Family)
150 S WALL ST
COOS BAY, OR 97420
Psychiatry & Neurology (Psychiatry)
150 S WALL ST
COOS BAY, OR 97420

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 Makenna Davis's NPI number?

The NPI number for Makenna Davis is 1578142899. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Where is Makenna Davis located?

Makenna Davis practices at 150 S Wall St, Coos Bay, OR 97420. The listed phone number is (541) 435-7200.

What is Makenna Davis's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Makenna Davis was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.