Audrey R. Davis, ED.D., MSW, LCSW

Clinical Social Worker · Bolingbrook, IL

Individual Active NPI

NPI number 1255844692

Practice location

494 W Boughton Rd Ste 4b
Bolingbrook, IL 60440-1881
Phone
(630) 863-0408
Fax
(815) 714-6220

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NPI record

NPI
1255844692
Entity type
Individual (Type 1)
Enumeration date
November 8, 2017
Last updated
February 5, 2022
Certified
February 5, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 149.019648 IL
School Social Worker 1041S0200X — —

Mailing address

215 Brookwood Ln E
Bolingbrook, IL 60440-5517
Phone
(630) 863-0408
Fax
(815) 714-6220

About Audrey Davis

Audrey R. Davis, ED.D., MSW, LCSW is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 494 W Boughton Rd Ste 4b, Bolingbrook, IL 60440-1881. The NPI number 1255844692 was assigned on November 8, 2017 and the record was last updated on February 5, 2022.

Audrey Davis lists a license in the registry: #149.019648 (IL) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Audrey R. Davis, ED.D., MSW, LCSW?

The NPI number is 1255844692.

What is the phone number of Audrey Davis?

The phone number listed for the practice location is (630) 863-0408.

Where is Audrey Davis located?

494 W Boughton Rd Ste 4b, Bolingbrook, IL 60440-1881.

What is the taxonomy code for Audrey Davis?

The primary taxonomy code is 1041C0700X – Clinical Social Worker; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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