Rachel Rhiannon Davis, LICSW | |
119 Sader Dr Ste 4, Inwood, WV 25428-3915 | |
(240) 406-9339 | |
Not Available |
Full Name | Rachel Rhiannon Davis |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 119 Sader Dr Ste 4, Inwood, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285257253 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | BP00944764 (West Virginia) | Secondary |
1041C0700X | Social Worker - Clinical | DP00944764 (West Virginia) | Primary |
Entity Name | Luminous Self Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366134561 PECOS PAC ID: 0244694388 Enrollment ID: O20230908000126 |
Mailing Address | Practice Location Address |
---|---|
Rachel Rhiannon Davis, LICSW 61 Powder Mill Ct, Inwood, WV 25428-4619 Ph: (540) 514-4814 | Rachel Rhiannon Davis, LICSW 119 Sader Dr Ste 4, Inwood, WV 25428-3915 Ph: (240) 406-9339 |
Lorie Mullan, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 119 Sader Dr Ste 4, Inwood, WV 25428 Phone: 304-278-3010 | |
Meagan M Faraone, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 167 1st St, Inwood, WV 25428 Phone: 304-209-4608 | |
Melissa Lynn Herbert, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 80 Ford Cir, Inwood, WV 25428 Phone: 276-289-2912 |