Active NPIIndividual provider

Krystle M Davis

Social Worker, Clinical in Montclair, New Jersey

NPI Number1194283374
Practice location
18-20 Lackawanna Plz, Montclair, NJ 07042-3642
Fax
—
Last updated
April 8, 2024

Krystle M Davis is a Social Worker, Clinical based in Montclair, NJ. Krystle M Davis practices in Montclair, NJ. The NPI Number for Krystle M Davis is 1194283374 and holds a License No. 44SL05770200 (NJ). The current practice location address for Krystle M Davis is 18-20 Lackawanna Plz, Montclair, NJ 07042-3642 and can be reached out via phone at 862-210-9485.

Provider Profile Details

NPI Number
1194283374
Provider Name
Krystle M Davis
Provider Entity Type
Individual
Gender
Female
Address
18-20 Lackawanna Plz, Montclair, NJ 07042-3642
Phone Number
862-210-9485
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
March 7, 2019
Last Update Date
April 8, 2024
Certification Date
April 8, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
18-20 Lackawanna Plz
Montclair, NJ 07042-3642
Zip
07042-3642
Phone Number
862-210-9485
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
38 Hilton St
East Orange, NJ 07017-1845
City
East Orange
State
NJ
Zip
07017-1845

License Information

License Number
44SL05770200
License State
NJ
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Krystle M Davis?

The NPI number of Krystle M Davis is 1194283374. It was assigned on March 7, 2019 and is currently active in the NPPES registry.

What is the specialty of Krystle M Davis?

Krystle M Davis is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SL05770200.

Where does Krystle M Davis practice?

The practice location is 18-20 Lackawanna Plz, Montclair, NJ 07042-3642. The office can be reached at 862-210-9485 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194283374 directly on the NPPES registry website.

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