Tricia Davis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

53776 Issued in TX

Practice address

1568 Sax Leigh Dr
Dallas, TX 75241

Phone

(973) 573-9237

NPI assigned

Jun 25, 2010

Last updated

Nov 14, 2017By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• GLC Wellness Center Texas LLC

  • General Practice Physician
  • Duncanville, TX
  • NPI 1700433653
  Medicare reassignment NPD
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  TX

  Medicare reassignment NPD
• Wellqor Psychological Services, PC

  • Clinical Psychologist
  • Melville, NY
  • NPI 1063920841

  TX

  Medicare reassignment NPD
• Southern Magnolia Therapeutic Solutions

  • Case Management Agency
  • Dallas, TX
  • NPI 1184484032
  Medicare reassignment
• Social Care Service LLC

  dba Social Care Services, LLC

  • In Home Supportive Care Agency
  • Dallas, TX
  • NPI 1710419239
  NPD (past) Authorized official
• Waterstone Wellness, PLLC

  dba AlphaHealth Medical Associates

  • Internal Medicine Physician
  • Duncanville, TX
  • NPI 1396250221
  NPD
• Golden Life Wellness Center DFW LLC

  • Family Medicine Physician
  • Arlington, TX
  • NPI 1265321160
  NPD (past)

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510617600000",
    "number": "1447561394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1568 SAX LEIGH DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75241",
            "telephone_number": "973-573-9237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1568 SAX LEIGH DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75241",
            "telephone_number": "973-573-9237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TRICIA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-25",
        "last_updated": "2017-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "53776",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "53776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• T. Bob Davis, D.M.D
• Teran Mills Davis, D.O.
• Terra J. Davis, PA-C
• Thomas Luke Davis, MD
• Tiarra Rachell Davis, PA-C
• Whitney Morgan Davis
• William Wesley Davis Jr., LPC
• Wilma Davis, LCSW
• Yvonne Davis, CRNA
• Davisson Consulting, Inc. (Lakewood Counseling & Hypnosis)

• Clinical Social Worker in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.