Active NPI
Elaine Carol Davis, LCSW
- Clinical Social Worker
- Killeen, TX
National Provider Identifier
1326118191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 38220
- Practice address
- 4803 John David Dr Apt a
Killeen, TX 76549-2643 - Phone
- (903) 780-3225
- NPI assigned
- Nov 9, 2006
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 38220 | TX | Primary |
Addresses
Primary practice location
4803 John David Dr Apt a
Killeen, TX 76549-2643
Mailing address
4803 John David Dr Apt a
Killeen, TX 76549-2643
Phone (903) 780-3225
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318809600000",
"number": "1326118191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4803 JOHN DAVID DR APT A",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765492643",
"telephone_number": "903-780-3225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4803 JOHN DAVID DR APT A",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765492643",
"telephone_number": "903-780-3225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ELAINE",
"middle_name": "CAROL",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-09",
"last_updated": "2011-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "38220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.