Kathleen Avery Davis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

57750 Issued in TX

Practice address

6951 Virginia Pkwy Ste 302
McKinney, TX 75071-4411

Phone

(469) 526-3020

NPI assigned

Sep 29, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722729600000",
    "number": "1932989787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 WHITEHEAD ST",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750702132",
            "telephone_number": "248-219-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6951 VIRGINIA PKWY STE 302",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750714411",
            "telephone_number": "469-526-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KATHLEEN",
        "middle_name": "AVERY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-29",
        "last_updated": "2024-08-04",
        "certification_date": "2024-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "57750",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "57750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine English Davis, LPC
• Crystal Davis, RBT
• Jade Davis, LMT
• Joann Gayle Davis, MS, LPC, NCC
• Kara Davis, M.A, BCBA
• Kathryn Noel Davis, PA-C
• Marla Davis
• Marqushia Dachelle Davis
• Matt Davis, DC
• Sandra Davis, PSYD

• Clinical Social Worker in McKinney, TX
• Providers in McKinney, 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 Aug 4, 2024; 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.