Elicia Davis, SOCIAL WORK
NPI 1790512804ActiveIndividual· Social Worker· Canton, MS
Social Worker (SOCIAL WORK) in Canton, Mississippi, licensed in IL, with an NPI issued in September 2024.
Overview
| NPI | 1790512804 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | SOCIAL WORK |
| Sole proprietor | Yes |
| NPI issued | Sep 14, 2024 |
| Last updated in NPPES | Sep 14, 2024 |
| Certified by provider | Sep 14, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | 150.111408 | 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 |
|---|
Other Social Worker providers in Canton
- 1023995412