Terry E Davis LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW10792 Issued in FL

Legal business name

TERRY E DAVIS LCSW LLC

Practice address

2701 W Oakland Park Blvd
225C
Oakland Park, FL 33311-1388

Phone

(954) 731-5505

Fax

(954) 731-5504

NPI assigned

Jul 9, 2012

Last updated

Jul 9, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Terry Davis, LCSWNPI 1235493479

Title

Owner/Manager

Phone

(954) 731-5505

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Terry Davis, LCSW

  • Clinical Social Worker
  • Oakland Park, FL
  • NPI 1235493479
  Authorized official Same address or phone

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1346505112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 W OAKLAND PARK BLVD",
            "address_2": "225C",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333111388",
            "telephone_number": "954-731-5505",
            "fax_number": "954-731-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 W OAKLAND PARK BLVD",
            "address_2": "225C",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333111388",
            "telephone_number": "954-731-5505",
            "fax_number": "954-731-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY E DAVIS LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-09",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "954-731-5505",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.