Tracy Williams Davis

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CL 60314184 Issued in WA

Practice address

1503 W 7TH Ave
Spokane, WA 99204-3412

Phone

(509) 747-7147

Fax

(509) 747-3828

NPI assigned

Apr 29, 2013

Last updated

Apr 29, 2013By 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

Other identifiers 1

Other names 1

• Tracy Williams Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Heart to Heart Corporation

  dba Heart to Heart Counseling

  • Mental Health Counselor
  • Spokane, WA
  • NPI 1457569808
  NPD (past)
• Sandalwood Counseling and Coaching, PLLC

  • Clinical Social Worker
  • Spokane, WA
  • NPI 1588958359
  NPD (past)

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1174967574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 W 7TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992043412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 W 7TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992043412",
            "telephone_number": "509-747-7147",
            "fax_number": "509-747-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS DAVIS",
        "first_name": "TRACY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "CL 60314184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONE HEALTH PORT",
            "identifier": "00000",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "WILLIAMS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bonnie June Willey, MA, MFT
• William a. Wray MD, PLLC
• William F Corell MD
• William L. Brown, MD, PLLC
• William M. Petersen, D.D.S., P.C. (The Old Firehouse Dental Office)
• Alan Charles Williams, CO
• Alicia Williams, MT
• Allison Lee Williams
• Amy Elizabeth Williams
• Anthony Lee Williams

• Clinical Social Worker in Spokane, WA
• Providers in Spokane, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.