Active NPI
Wilma Davis - Reconnecting Families
- Clinical Social Worker
- Dallas, TX
National Provider Identifier
1821605650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- WILMA DAVIS - RECONNECTING FAMILIES
- Doing business as
- Wilma Davis - Reconnecting Families
- Practice address
- 6310 Humoresque Dr
Dallas, TX 75241-2614 - Phone
- (121) 440-4902
- Fax
- (972) 685-9111
- NPI assigned
- Sep 25, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wilma Davis, LCSW
- Title
- Ceo, Founder
- Phone
- (214) 404-9026
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
6310 Humoresque Dr
Dallas, TX 75241-2614
Mailing address
6310 Humoresque Dr
Dallas, TX 75241-2614
Phone (121) 440-4902
Other names 1
- Wilma Davis - Reconnecting Families
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | daviswilma@att.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Dallas, TX
- NPI 1033583430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1601251200000",
"number": "1821605650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6310 HUMORESQUE DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752412614",
"telephone_number": "121-440-4902",
"fax_number": "972-685-9111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6310 HUMORESQUE DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752412614",
"telephone_number": "121-440-4902",
"fax_number": "972-685-9111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILMA DAVIS - RECONNECTING FAMILIES",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-25",
"last_updated": "2020-09-28",
"certification_date": "2020-09-28",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "WILMA",
"authorized_official_title_or_position": "CEO, FOUNDER",
"authorized_official_telephone_number": "214-404-9026",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "daviswilma@att.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "6310 Humoresque Dr",
"city": "Dallas",
"state": "TX",
"country_code": "US",
"postal_code": "752412614",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Wilma Davis - Reconnecting Families",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.