Active NPI
Danita Davis, LCSW
- Clinical Social Worker
- Killeen, TX
National Provider Identifier
1497132195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 38962
- Practice address
- 1711 E Central Texas Expy Ste 108-6
Killeen, TX 76541-9145 - Phone
- (254) 833-5141
- Fax
- (254) 833-5143
- NPI assigned
- May 1, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 38962 | TX | Primary |
Addresses
Primary practice location
1711 E Central Texas Expy Ste 108-6
Killeen, TX 76541-9145
Mailing address
1711 E Central Texas Expy Ste 108-6
Killeen, TX 76541-9145
Phone (254) 833-5141
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2003
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3106 S W S Young Dr
Suite B202
Killeen, TX 76542-2000
Phone (254) 628-0056
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38962 | TX | MD | General Practice Dentistry |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Killeen, TX
- NPI 1821424193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559174400000",
"number": "1497132195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1711 E CENTRAL TEXAS EXPY STE 108-6",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765419145",
"telephone_number": "254-833-5141",
"fax_number": "254-833-5143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1711 E CENTRAL TEXAS EXPY STE 108-6",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765419145",
"telephone_number": "254-833-5141",
"fax_number": "254-833-5143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "DANITA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-01",
"last_updated": "2019-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "38962",
"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 May 30, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.