Nicole Davis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

53112 Issued in TX

Practice address

1602 Deer TRL
Kerrville, TX 78028-4727

Phone

(830) 928-8199

NPI assigned

Apr 3, 2022

Sex

Female

Sole proprietor

Yes

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 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

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

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.

• Chapters Counseling Co., PLLC

  • Clinical Social Worker
  • Kerrville, TX
  • NPI 1265387237
  Medicare reassignment NPD Authorized official
• Olive Branch Counseling and Training, PLLC

  • Professional Counselor
  • Boerne, TX
  • NPI 1013307966
  NPD (past)

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

{
    "created_epoch": "1648944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648944000000",
    "number": "1699416859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 DEER TRL",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780284727",
            "telephone_number": "830-928-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 DEER TRL",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780284727",
            "telephone_number": "830-928-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-03",
        "last_updated": "2022-04-03",
        "certification_date": "2022-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "53112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David C Winkler MD PA
• David R. Miloy MD PA
• Russell Alan Davidson, PHARM. D
• John D. Davis, M.D.
• John W Davis, DC
• Kerry De Jesus, PSYD
• Marco Antonio De Los Santos, MD
• Michael James Deegan Jr.
• Janeth Renee Deltoro, FNP
• Amber Alynn Dendy, MS, LPC

• Clinical Social Worker in Kerrville, TX
• Providers in Kerrville, 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 Apr 3, 2022; 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.

Verify at the official NPI Registry.