# CAROL ANN DAVIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1457527673
- **Gender:** F
- **Credential:** LISW CP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 1309 | NC | — |
| 1041C0700X | Clinical Social Worker | 9701 | SC | Yes |
| 1041C0700X | Clinical Social Worker | C006125 | NC | — |

## Other

- **Enumeration date:** 05/07/2008
- **Last updated:** 11/23/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 10751529 | CAQH | VA |
| 05 | — | 6008307 | — | NC |