MEDICARE: SHANIQUA DAVIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	P017317	NC

General Provider Information

NPI Number	:	1346998739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANIQUA DAVIS

Provider Business Mailing Address
First Line	:	9622 WALTHAM CT
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28269-7003
Country	:	US
Telephone Number	:	704-884-5003
Fax Number	:

Provider Business Practice Location Address
First Line	:	5628 HENDERSON OAKS DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28269-1813
Country	:	US
Telephone Number	:	704-884-5003
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/15/2022
Last Update Date	:	03/15/2022

Similar Medicare Providers

1023608957 — AVITA WADE
Practice Location Address:

5110 MISTY OAKS DR APT 1813
CHARLOTTE, NC
28269-4397

Practice Phone: 843-641-8326
Practice Fax:

1285366708 — HELP I'M HURTING THERAPIES PLLC
Practice Location Address:

5628 HENDERSON OAKS DR
CHARLOTTE, NC
28269-1813

Practice Phone: 704-593-6987
Practice Fax:

1124211461 — MRS. ANDREA NICOLE GUIDETTI MS CCC-SLP
Practice Location Address:

3320 AUBURN AVE
CHARLOTTE, NC
28209-1813

Practice Phone: 508-333-4258
Practice Fax:

1588357859 — MR. NICHOLAS LEARY RN
Practice Location Address:

1813 BERRYHILL RD
CHARLOTTE, NC
28208-5113

Practice Phone: 704-644-9164
Practice Fax:

1093658288 — JET ARTS
Practice Location Address:

6009 ELM COVE LN
CHARLOTTE, NC
28269-1081

Practice Phone: 803-207-7892
Practice Fax:

1437092665 — SAMANTHA CAMPBELL
Practice Location Address:

7004 SMITH CORNERS BLVD
CHARLOTTE, NC
28269-3793

Practice Phone: 704-291-9267
Practice Fax:

Directions to “ SHANIQUA DAVIS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.