Individual provider · Type 1 NPI
Renita Dercel Davis, D.MIN M.ED LSW MSW
School Social Worker · Round Lake Beach, IL
NPI number
1184203341
Active
Practice location
200 W Country Walk Dr
Round Lake Beach, IL 60073-4009
Fax (847) 356-1306
Mailing address
1940 N Municipal Way Unit 991
Round Lake Beach, IL 60073-7939
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Social Worker Primary | 1041S0200X | 150.119132 (IL) |
School Social Worker: Definition to come...
About NPI 1184203341
Renita Dercel Davis, D.MIN M.ED LSW MSW's National Provider Identifier is 1184203341, issued on Apr 5, 2021. The primary taxonomy on file is School Social Worker (1041S0200X), and the practice location is in Round Lake Beach, IL. The record was last updated on Oct 31, 2026.