Carrisa Davis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

111665 Issued in TX

Practice address

BLDG 36065 590 Medical Center Rd.
3Rd Floor, RM 33-133
Fort Cavazos, TX 76544

Phone

(254) 553-0998

NPI assigned

Sep 26, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Carrisa Zajac Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• Umoja Behavioral Health PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Albuquerque, NM
  • NPI 1063989648
  NPD

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1053034934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 QUARRY DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765437114",
            "telephone_number": "575-430-3987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG 36065 590 MEDICAL CENTER RD.",
            "address_2": "3RD FLOOR, RM 33-133",
            "city": "FORT CAVAZOS",
            "state": "TX",
            "postal_code": "76544",
            "telephone_number": "254-553-0998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3150 Carlisle Blvd NE Ste 105",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871101680",
            "country_code": "US",
            "telephone_number": "505-663-6645",
            "fax_number": "505-207-7421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CARRISA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "SWB-2024-0651",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "111665",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "111665",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRISA",
            "last_name": "ZAJAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Anne Crow, PHARMD, RPH, BCGP
• Fernando Cuadrado-Rivera, COTA/L
• Shamale Latrice Dancy, LCSW-S
• David Ayala Dantes, DDS
• Linda Dawn Dao
• Sarah Kathryn Davis, LCSW
• Jurgen Andres Daye Trujillo, MD
• Devin Defeo
• Reagan Dehnbostel, DO
• Zaakiyah Denefield-Davis

• Clinical Social Worker in Fort Cavazos, TX
• Providers in Fort Cavazos, 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 Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.