Active NPI
Gayle Davis, LCSW
- Social Worker
- Irving, TX
National Provider Identifier
1124277140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 17111
- Practice address
- 511 E John Carpenter Fwy
Suite 436
Irving, TX 75062-3911 - Phone
- (214) 202-3929
- Fax
- (972) 620-2969
- NPI assigned
- Sep 15, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 17111 | TX | Primary |
Addresses
Primary practice location
511 E John Carpenter Fwy
Suite 436
Irving, TX 75062-3911
Mailing address
10213 Timber Trail Dr
Dallas, TX 75229-6026
Phone (214) 202-3929
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17111 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280880000000",
"number": "1124277140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10213 TIMBER TRAIL DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752296026",
"telephone_number": "214-202-3929",
"fax_number": "972-620-2969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 E JOHN CARPENTER FWY",
"address_2": "SUITE 436",
"city": "IRVING",
"state": "TX",
"postal_code": "750623911",
"telephone_number": "214-202-3929",
"fax_number": "972-620-2969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "GAYLE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-15",
"last_updated": "2010-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "17111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.