TERRELLL DAVIS , NPI 1245721919 — MARRERO (LA)

NPI 1245721919

1+ Years Experience Individual

TERRELLL DAVIS

05/29/2018
PROVIDER ENUMERATION DATE
06/16/2018
LAST UPDATE DATE
1245721919
NPI NUMBER

About TERRELLL DAVIS

Sole proprietor? Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor.

TERRELLL DAVIS is a provider established in MARRERO, LA. The NPI number of TERRELLL DAVIS is 1245721919 and was assigned on 05/29/2018. The practitioners primary taxonomy code is: 104100000X .

Mailing address

  • City: MARRERO
  • State: LA
  • Postal code: 700724521
  • Phone: 5044288295
  • Address: 1737 BURNLEY DR

Primary Practice Address

  • Region : MARRERO, LA
  • NPI : 1245721919
  • Phone : 5044288295
  • Postalcode : 700724521
  • Address : 1737 BURNLEY DR

Provider taxonomy - Social Worker

  • Taxonomy code: 104100000X

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: 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.

Contacts:

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  • TERRELLL DAVIS
  • Address : 1737 BURNLEY DR
  • Region : MARRERO, LA
  • NPI : 1245721919
  • Phone : 5044288295
  • Postalcode : 700724521

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address1737 BURNLEY DR
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameMARRERO
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameLA
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code700724521
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number5044288295
The telephone number associated with the location address of the provider being identified.
NPI1245721919
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1104100000X
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.
Provider Enumeration Date05/29/2018
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated06/16/2018
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)TERRELLL DAVIS
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address1737 BURNLEY DR
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameMARRERO
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameLA
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code700724521
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number5044288295
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Healthcare Provider Taxonomy Code #1104100000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Social Worker
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.
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeM
  • M - male
  • F - female
Is sole proprietorY
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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