Active NPI
Tiffany A Davis, LCSW
- Clinical Social Worker
- Mt Juliet, TN
National Provider Identifier
1336277052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3745
- Practice address
- 2745 N Mount Juliet Rd
Mt Juliet, TN 37122-3041 - Phone
- (615) 754-5853
- Fax
- (615) 754-5826
- NPI assigned
- Mar 2, 2007
- 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 | 3745 | TN | Primary |
Addresses
Primary practice location
2745 N Mount Juliet Rd
Mt Juliet, TN 37122-3041
Mailing address
1112 Glenwood Ave
Nashville, TN 37204
Phone (615) 460-0034
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 |
|---|---|---|---|
| 3745 | TN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336277052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 GLENWOOD AVE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "37204",
"telephone_number": "615-460-0034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2745 N MOUNT JULIET RD",
"city": "MT JULIET",
"state": "TN",
"postal_code": "371223041",
"telephone_number": "615-754-5853",
"fax_number": "615-754-5826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "TIFFANY",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "3745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mt Juliet, TN
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.