MEDICARE: MRS. ZOE ANN DAVIS MSW

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	106H00000X	Marriage & Family Therapist	4101005120	MI
2	104100000X	Social Worker	6801008416	MI
3	1041C0700X	Clinical Social Worker	6801008416	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8008987680	OTHER	MI	BLUE CROSS

General Provider Information

NPI Number	:	1942285069
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ZOE ANN DAVIS MSW

Provider Business Mailing Address
First Line	:	1304 S CLINTON ST
Second Line	:
City	:	CHARLOTTE
State	:	MI
Zip	:	48813-2124
Country	:	US
Telephone Number	:	517-881-6843
Fax Number	:

Provider Business Practice Location Address
First Line	:	121 S COCHRAN AVE
Second Line	:	SUITE B
City	:	CHARLOTTE
State	:	MI
Zip	:	48813-1568
Country	:	US
Telephone Number	:	517-881-6843
Fax Number	:

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

Provider Enumeration Date	:	12/12/2005
Last Update Date	:	05/11/2026

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