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NICOLE LYNNE DAVIS
NPI 1972086957
Social Worker - Clinical in Chicago, IL

Active since September 14, 2018
4507 N RAVENSWOOD AVE STE 111, CHICAGO, IL 60640(248) 320-6435 Get Directions Write a Review

NPPES record last updated: September 14, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicole Lynne Davis NPPES

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

NICOLE LYNNE DAVIS (NPI 1972086957) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149015588) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1972086957
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLE LYNNE DAVIS
Location Address4507 N RAVENSWOOD AVE STE 111Chicago, IL 60640-5218
Mailing Address1720 S Michigan Ave Apt 2804Chicago, IL 60616-4860 · (248) 320-6435
Phone(248) 320-6435
Sole ProprietorYes
Enumeration DateSeptember 14, 2018
✔ NPI 1972086957 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 IL · 149015588
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.
4507 N RAVENSWOOD AVE STE 111, Chicago, IL 60640
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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 Nicole Davis's NPI number?

The NPI number for Nicole Davis is 1972086957. It was assigned to this individual provider in the NPPES registry on September 14, 2018.

Where is Nicole Davis located?

Nicole Davis practices at 4507 N Ravenswood Ave Ste 111, Chicago, IL 60640. The listed phone number is (248) 320-6435.

What is Nicole 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 Nicole Davis was last updated on September 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.