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

Individual provider Clinical Social Worker · NPI 1508486853

Vivian M Davis, LCAS is a Clinical Social Worker in Fayetteville, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1830 Owen Dr Ste 202-4
Fayetteville, NC 28304-1611
Phone: (910) 568-6239
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 26730 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence P020651 (NC)

Record details

NPI number1508486853
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCAS
Sole proprietorYes
NPI enumeratedApril 16, 2020
Last updated in NPPESApril 1, 2025
Certification dateMarch 31, 2025

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