Individual provider Active NPI

Debra L Davis, LCSW

  • Clinical Social Worker
  • Round Rock, TX
National Provider Identifier
1255372843
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
29340 Issued in TX
Practice address
1970 Rawhide Dr
Suite 204
Round Rock, TX 78681-6957
Phone
(512) 244-7271
Fax
(512) 238-6348
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 29340 TX Primary

Addresses

Primary practice location

1970 Rawhide Dr
Suite 204
Round Rock, TX 78681-6957

Mailing address

1970 Rawhide Dr
Suite 204
Round Rock, TX 78681-6957
Phone (512) 244-7271

Other identifiers 1

IdentifierTypeStateIssuer
0072LJOtherTXBCBS PROVIDER NO.

Other names 1

  • Debbie Davis Professional name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
29340TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255372843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1970 RAWHIDE DR",
            "address_2": "SUITE 204",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786816957",
            "telephone_number": "512-244-7271",
            "fax_number": "512-238-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 RAWHIDE DR",
            "address_2": "SUITE 204",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786816957",
            "telephone_number": "512-244-7271",
            "fax_number": "512-238-6348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DEBRA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "29340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NO.",
            "identifier": "0072LJ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBBIE",
            "last_name": "DAVIS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.