Active NPI
Theresa B Davis, LCSW
- Clinical Social Worker
- Arlington, TX
National Provider Identifier
1669694543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 760 N Fielder Rd
Arlington, TX 76012-4635 - Phone
- (214) 729-4451
- Fax
- (972) 660-4704
- NPI assigned
- May 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Case Manager/Care Coordinator | 171M00000X | 19457 | TX |
Addresses
Primary practice location
760 N Fielder Rd
Arlington, TX 76012-4635
Mailing address
4470 Sharpsburg Dr
Grand Prairie, TX 75052-1636
Phone (214) 729-4451
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1823478 | Medicaid | TX |
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 |
|---|---|---|---|
| 19457 | TX | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759795200000",
"number": "1669694543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4470 SHARPSBURG DR",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750521636",
"telephone_number": "214-729-4451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 N FIELDER RD",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760124635",
"telephone_number": "214-729-4451",
"fax_number": "972-660-4704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "THERESA",
"middle_name": "B",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2025-10-07",
"certification_date": "2025-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "TX",
"license": "19457",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1823478",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.