Provider Demographics
NPI:1396425633
Name:DAVIS, EMMA CAROLINE (LCSWA, MSW, BSW)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:CAROLINE
Last Name:DAVIS
Suffix:
Gender:F
Credentials:LCSWA, MSW, BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 CHADWICK AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-5773
Mailing Address - Country:US
Mailing Address - Phone:828-696-6985
Mailing Address - Fax:
Practice Address - Street 1:350 CHADWICK AVE STE 300
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-5773
Practice Address - Country:US
Practice Address - Phone:828-696-6985
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-21
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0182781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical