TAYLOR DAVIS (LMSW) – Clinical Social Worker, NPI 1376058792

TAYLOR DAVIS (LMSW) is a healthcare provider. based in Paw paw, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LMSW. They hold a License No. 6801099625 (MI). The NPI Number for TAYLOR DAVIS (LMSW) is 1376058792

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
TAYLOR DAVIS (LMSW)
NPI
1376058792
Phone
(269) 657-5574
Address
801 HAZEN ST STE C
Enumeration Date
7 December 2017
Last Update Date
12 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2696575574
Graduation Year
2016 (10 years ago)
PAC ID
4587045414
Group Practice PAC ID
6800863788
Professional Enrollment ID
I20220722002026
Address ID
MI490792008PA801XXSTXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:8State licenses:2Digital endpointsOther names

4,821 CLINICAL SOCIAL WORKER in MI

Provider Addresses for TAYLOR DAVIS (LMSW)

  • 801 HAZEN ST STE C

    PAW PAW, MI 490792008

    Phone: (269) 657-5574

    Type: Location

  • 57418 COUNTY ROAD 681 STE C

    HARTFORD, MI 490579422

    Phone: (269) 427-5671

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-07-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220722002026IClinical Social WorkerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49079)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800863788View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Clinical Social WorkerMI
-MI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
-MI
-MI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

Does TAYLOR DAVIS (LMSW) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — TAYLOR DAVIS (LMSW) uses 1376058792.
Can I rely on TAYLOR DAVIS (LMSW) being an active provider?
As of the registry snapshot, TAYLOR DAVIS (LMSW) is marked active.
What taxonomy line describes TAYLOR DAVIS (LMSW)?
For research purposes, treat TAYLOR DAVIS (LMSW) as Clinical Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
Does TAYLOR DAVIS (LMSW) list a practice location?
Patients near Paw Paw, Michigan may find TAYLOR DAVIS (LMSW) in results; validate coverage separately.
Is the information about TAYLOR DAVIS (LMSW) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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