Healthcare Provider Details

I. General information

NPI: 1588594907
Provider Name (Legal Business Name): ELAINA DAVES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ELAINA ELLINGSWORTH

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2013 GRANDE HARMONY PL
CARY NC
27513-3152
US

IV. Provider business mailing address

2013 GRANDE HARMONY PL
CARY NC
27513-3152
US

V. Phone/Fax

Practice location:
  • Phone: 919-901-3234
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP022695
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberP022695
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: