Wilma Davis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

61879 Issued in TX

Practice address

6310 Humoresque Dr.
Dallas, TX 75241-2614

Phone

(214) 404-9026

Fax

(214) 371-7380

NPI assigned

Nov 23, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wilma Davis - Reconnecting Families

  • Clinical Social Worker
  • Dallas, TX
  • NPI 1821605650
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1033583430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6310 HUMORESQUE DR.",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752412614",
            "telephone_number": "214-404-9026",
            "fax_number": "214-371-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6310 HUMORESQUE DR.",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752412614",
            "telephone_number": "214-404-9026",
            "fax_number": "214-371-7380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "WILMA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-23",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "61879",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3528697",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Luke Davis, MD
• Tiarra Rachell Davis, PA-C
• Tricia Davis, LCSW
• Whitney Morgan Davis
• William Wesley Davis Jr., LPC
• Yvonne Davis, CRNA
• Davisson Consulting, Inc. (Lakewood Counseling & Hypnosis)
• Lori Davisson-Hughes, AUD
• Edward A. Davisson, LPC
• Katelyn Davisson, RBT

• Clinical Social Worker in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.