Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Edrena Davis

Individual provider Behavior Analyst · NPI 1619313889

Edrena Davis is a Clinical Social Worker in Hazel Crest, Illinois. Qualified in 2007, 19 years ago. Registered with an NPI since 2013.

Years since qualifying
19
In the registry since
2013
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Practice location Address checks out

1909 Cheker Sq
Hazel Crest, IL 60429-1442
Phone: (708) 331-0500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1619313889
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 15, 2013
Last updated in NPPESMay 15, 2013
Mailing address1909 Cheker Sq, Hazel Crest, IL 60429-1442

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Hazel Crest