Renita Dercel Davis, D.MIN M.ED LSW MSW
NPI 1184203341ActiveIndividual· Social Worker, School· Round Lake Beach, IL
Social Worker, School (D.MIN M.ED LSW MSW) in Round Lake Beach, Illinois, licensed in IL, with an NPI issued in April 2021.
Overview
| NPI | 1184203341 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.MIN M.ED LSW MSW |
| Sole proprietor | Yes |
| NPI issued | Apr 5, 2021 |
| Last updated in NPPES | Oct 31, 2026 |
| Certified by provider | Oct 31, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, School Primary | 1041S0200X | 150.119132 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|