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Deactivated NPI 1952076267 Deactivated / Inactive NPI Female Practitioner

Kaisha Davis

Social Worker - Clinical • Orem, UT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kaisha Davis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 10, 2021
NPI Deactivation Date March 19, 2024
Total Practice Duration ~3 Years of Practice (2021 – 2024)

Professional Overview & Biography Verified Profile Summary

Kaisha Davis was a registered Social Worker - Clinical practicing in Orem, UT. Throughout an active medical career spanning 3 years, Kaisha Davis provided care at the practice location at 901 S OREM BLVD until profile deactivation on 2024-03-19.

Practice Location & Contact Primary Location

Practice Address

901 S Orem Blvd

Orem, UT 840585011

Telephone 8019609622
Fax 8013730639
Associated Practice Facility / Clinic
🏢 John Burr, Inc Facility NPI 1134525447

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Orem, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.7 Yrs
State Avg: 14.8 Yrs
Regional Practice Density
221 Specialists

Practicing in Orem, UT (5603 Statewide)

Telehealth Adoption Rate
0.5% 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: 2024-04-18
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License UT 13432043-3502

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Eliza Gedge , PhD, LP

Psychologist - Clinical

NPI 1003197658

Doctor of Philosophy (Ph.D.), Licensed Psychologist

Megan Nichols

Case Manager/Care Coordinator

NPI 1003283466
Victoria Ryals

Student in an Organized Health Care Education/Training Program

NPI 1003299900
Allison Ramirez

Peer Specialist

NPI 1003369257
David Skiles , CMHC

Counselor - Mental Health

NPI 1003387242
Madison Willes

Case Manager/Care Coordinator

NPI 1003570631

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location April 18, 2024

Registered at 901 S OREM BLVD, OREM, UT 840585011 (Tel: 8019609622)

📍
Updated Business Mailing Address April 18, 2024

Registered at 750 N FREEDOM BLVD, PROVO, UT 846011677 (Tel: 8013734760)

👤
Provider Name / Credentials Updated April 18, 2024

Recorded as KAISHA DAVIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2024

Student in an Organized Health Care Education/Training Program

⚠️
NPI Profile Deactivated March 19, 2024

Record deactivated on March 19, 2024

NPI Profile Active August 10, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location August 10, 2021

Registered at 750 N FREEDOM BLVD, PROVO, UT 846011677 (Tel: 8013734760)

📍
Updated Business Mailing Address August 10, 2021

Registered at 750 N FREEDOM BLVD, PROVO, UT 846011677 (Tel: 8013734760)

👤
Provider Name / Credentials Updated August 10, 2021

Recorded as KAISHA DAVIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration August 10, 2021

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: 1952076267
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2021
Last Update: April 18, 2024
Deactivation Date: March 19, 2024
Sole Proprietor: No

Mailing Address

750 N Freedom Blvd

Provo, UT 846011677

Phone: 8013734760

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.