MRS. RENITA DERCEL DAVIS MSW MED NPI 1184203341

NPI Information

NPI: 1184203341
Provider Name: MRS. RENITA DERCEL DAVIS, MSW, MED
Classification: Social Worker - 1041S0200X
Entity Type: Individual

Specialization: School

Address:
200 W COUNTRY WALK DR
ROUND LAKE BEACH, IL
ZIP 60073
Phone: (847) 668-7456
Get Directions

MRS. Renita Dercel Davis, MSW, MED is a school social worker in Round Lake Beach, IL. MRS. Renita Dercel Davis, MSW, MED NPI is 1184203341. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

200 W COUNTRY WALK DR
ROUND LAKE BEACH, IL
ZIP 60073-009
Phone: (847) 668-7456
Fax: (847) 356-1306

The enumeration date for this NPI number is 4/5/2021 and was last updated on 7/22/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041S0200X	Social Worker	School		ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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