Provider Demographics
NPI:1285438994
Name:DAVIS, CLAY (MSW)
Entity type:Individual
Prefix:
First Name:CLAY
Middle Name:
Last Name:DAVIS
Suffix:
Gender:
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5636 CALLE DE ORO
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47712-2730
Mailing Address - Country:US
Mailing Address - Phone:270-302-5906
Mailing Address - Fax:
Practice Address - Street 1:312 NW MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47708-1900
Practice Address - Country:US
Practice Address - Phone:270-302-5906
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health