Individual provider Active NPI

Kayleen Davie, LMSW

  • Clinical Social Worker
  • Kingwood, TX
National Provider Identifier
1699372128
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
69674 Issued in TX
Practice address
1525 Lakeville Dr Ste 114
Kingwood, TX 77339-2068
Phone
(713) 725-7534
NPI assigned
Oct 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 69674 TX Primary

Addresses

Primary practice location

1525 Lakeville Dr Ste 114
Kingwood, TX 77339-2068

Mailing address

31013 Sunfall Trail LN
Spring, TX 77386-7108
Phone (713) 725-7534

Other practice location 1

723 W 17th St
Houston, TX 77008-3525
Phone (713) 725-7534

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

LicenseStateTypeSpecialty
69674TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1699372128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31013 SUNFALL TRAIL LN",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773867108",
            "telephone_number": "713-725-7534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 LAKEVILLE DR STE 114",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392068",
            "telephone_number": "713-725-7534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "723 W 17th St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770083525",
            "country_code": "US",
            "telephone_number": "713-725-7534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIE",
        "first_name": "KAYLEEN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "69674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.