Grace Lillian Davis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14352 Issued in TX

Practice address

631 Mill St Ste 101
San Marcos, TX 78666-6732

Phone

(512) 766-3786

Fax

(512) 396-5680

NPI assigned

May 2, 2007

Last updated

Jan 3, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Journeys Counseling Services, PLLC

  • Clinical Social Worker
  • San Marcos, TX
  • NPI 1346723418
  NPD Authorized official

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1043431232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 MILL ST STE 101",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786666732",
            "telephone_number": "512-766-3786",
            "fax_number": "512-396-5680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 MILL ST STE 101",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786666732",
            "telephone_number": "512-766-3786",
            "fax_number": "512-396-5680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Fm 3237",
            "address_purpose": "LOCATION",
            "city": "Wimberley",
            "state": "TX",
            "postal_code": "78676",
            "country_code": "US",
            "telephone_number": "512-762-3921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "GRACE",
        "middle_name": "LILLIAN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "14352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick John Dattore, PH.D.
• David C Jones MD PA
• Michael Davies, D.O.
• Susana Salazar Davila, RPH
• Allison Claire Davis, LPC
• Jordan Elizabeth Davis
• Alyssa De Rouen
• Farooq Deep, PT
• Leandra Denise Deleon
• Courtney Deloach

• Clinical Social Worker in San Marcos, TX
• Providers in San Marcos, 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 Jan 3, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.