Individual provider · Type 1 NPI

Mandella Davis, MSSA, LISW-S

Clinical Social Worker · Columbus, OH

NPI number 1053829218 Active

Practice location

4998 W Broad St
Columbus, OH 43228-1647

Mailing address

6183 Wealthy Ln
Dublin, OH 43016-7812

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XS.1502370 (OH)
Clinical Social Worker Primary 1041C0700XI.2204170

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1053829218

Mandella Davis, MSSA, LISW-S's National Provider Identifier is 1053829218, issued on Jan 22, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Columbus, OH. The record was last updated on Aug 19, 2025.