Brian W Davis is a Clinical in Conway, Arkansas. Brian W Davis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Brian W Davis is 1750338067. The last update date is 2022-07-21.
Brian W Davis's current location address is 350 Salem Rd Ste 1, Conway, Arkansas. You can contact this provider via phone number 5013368300 and fax number 4798905364. The mailing address for Brian W Davis is 350 Salem Rd Ste 1, Conway, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian W Davis |
|---|---|
| Address | 350 Salem Rd Ste 1, Conway, Arkansas |
| Phone Number | 5013368300 |
| Fax Number | 4798905364 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1750338067 |
|---|---|
| Provider Enumeration Date | 2006-05-30 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 350 Salem Rd Ste 1 |
|---|---|
| City | Conway |
| State | Arkansas (AR) |
| Post Code | 720346166 |
| Phone Number | 5013368300 |
| Fax Number | 4798905364 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1930C |
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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, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 51532255 | AL | BCBS | |
| 51532854 | AL | FEDERAL BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Brian W Davis by the Centers for Medicare & Medicaid Services?
The Brian W Davis has been assigned the NPI (National Provider Identifier) 1750338067. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Brian W Davis?
The Brian W Davis is situated at 350 Salem Rd Ste 1, in the city of Conway, state of AR, with the zip code 720346166.
What is the Brian W Davis's area of specialization and corresponding taxonomy classification?
The Brian W Davis's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1750338067 to Brian W Davis?
The Centers for Medicare & Medicaid Services originally issued the 1750338067 to Brian W Davis on 2006-05-30.
When was the Brian W Davis's information last updated?
The Brian W Davis's information was last updated on 2022-07-21.