Legacy 4 Change
NPI 1912664509ActiveOrganization· Social Worker, Clinical· Jackson, MS
Social Worker, Clinical in Jackson, Mississippi, registered in NPPES in November 2021. The authorized official on file is Chasity Davis, President.
Overview
| NPI | 1912664509 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 18, 2021 |
| Last updated in NPPES | Jan 20, 2022 |
| Certified by provider | Jan 20, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
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 |
|---|
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