Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1942184312 Individual Practitioner Female Practitioner

Renisha Lashay Davis , LSW

Social Worker • Belleville, IL

Professional Overview & Biography Verified Profile Summary

Renisha Davis, LSW is a registered healthcare professional specializing in Social Worker in Belleville, IL. Practice services are available at 12 N 64TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12 N 64th St

Belleville, IL 622233809

Telephone 6188774420
Associated Practice Facility / Clinic
🏢 Chestnut Health Systems, Inc. Facility NPI 1760602593

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Belleville, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
12 Specialists

Practicing in Belleville, IL (5960 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-07-31
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License IL 150.117150

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Charles Massie , LPC, LCPC

Counselor - Professional

NPI 1013369628

Licensed Professional Counselor, Licensed Clinical Professional Counselor

Kierstin Hancock , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1053063776

Psychiatric-Mental Health Nurse Practitioner

Kristle Kapp , MA

Counselor - Mental Health

NPI 1053761783

Master of Arts

NPI 1093328841

Licensed Professional Counselor

Dennis Fox , LCPC

Counselor - Addiction (Substance Use Disorder)

NPI 1104032796

Licensed Clinical Professional Counselor

Stacy Dierks , BA, CADC

Counselor - Addiction (Substance Use Disorder)

NPI 1104185107

Bachelor of Arts, Certified Alcohol and Drug Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 31, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location July 31, 2025

Registered at 12 N 64TH ST, BELLEVILLE, IL 622233809 (Tel: 6188774420)

📍
Updated Business Mailing Address July 31, 2025

Registered at 1003 MARTIN LUTHER KING DR, BLOOMINGTON, IL 617011429 (Tel: 6188774420)

👤
Provider Name / Credentials Updated July 31, 2025

Recorded as RENISHA DAVIS, LSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2025

Social Worker (License #150.117150 in IL)

🟢
Initial NPI Registration & Enumeration July 31, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1942184312
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2025
Last Update: July 31, 2025
Sole Proprietor: No

Mailing Address

1003 Martin Luther King Dr

Bloomington, IL 617011429

Phone: 6188774420

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.