William Maynard Davis, LMSW UNDER SUPERVISI

Primary specialty

Social WorkerTaxonomy code 104100000X

License

3220 Issued in OK

Practice address

11740 E 21St St
Tulsa, OK 74129-1820

Phone

(918) 437-9495

Fax

(918) 234-4554

NPI assigned

Feb 13, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK, CO2 enrollments

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 2

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 and National Provider Directory roles.

• Alliance Mental Health, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Claremore, OK
  • NPI 1053602649
  Medicare reassignment NPD
• Alliance Mental Health - Colorado LLC

  • Mental Health Counselor
  • Fort Collins, CO
  • NPI 1770247702
  Medicare reassignment NPD
• Alliance Mental Health - Colorado LLC

  • Mental Health Counselor
  • Miami, OK
  • NPI 1205580040
  NPD
• Alliance Mental Health, LLC

  • Mental Health Counselor
  • Saddle River, NJ
  • NPI 1285520726
  NPD
• Family & Children'S Services, Inc

  • Community/Behavioral Health Agency
  • Tulsa, OK
  • NPI 1699989202
  NPD (past)
• Family & Children'S Services, Inc

  • Case Management Agency
  • Tulsa, OK
  • NPI 1932311495
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609918168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 S PEORIA",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741204429",
            "telephone_number": "918-587-9471",
            "fax_number": "918-560-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11740 E 21ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741291820",
            "telephone_number": "918-437-9495",
            "fax_number": "918-234-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "WILLIAM",
        "middle_name": "MAYNARD",
        "name_prefix": "Mr.",
        "credential": "LMSW UNDER SUPERVISI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OK",
            "license": "3220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thresa Lynn Davis, PTA
• Tommy Ray Davis, MA
• Tsanina Karen Davis, MHR
• Tyler Robert Davis, MSW
• Velisa Davis, APRIN
• Windle Clinton Davis, CRNA
• Zoe Davis
• Abigail J Davison, PA-C
• August Joseph Davison
• Christy Alane Davison, COTA/L

• Social Worker in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Social Worker in Oklahoma

• 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.
• 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.