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

Miracle Davis, LCSWA

Individual provider Clinical Social Worker · NPI 1629518360

Miracle Davis, LCSWA is a Clinical Social Worker in Rocky Mount, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2017
Specialties on file
2

Practice location Address checks out

2747 Sunset Ave Ste 109
Rocky Mount, NC 27804-3751
Phone: (252) 985-3216
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P021282 (NC)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1629518360
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWA
Sole proprietorYes
NPI enumeratedFebruary 28, 2017
Last updated in NPPESSeptember 17, 2024
Certification dateSeptember 17, 2024
Mailing address2747 Sunset Ave Ste 109, Rocky Mount, NC 27804-3751

Other providers in Rocky Mount