MR. TIMOTHY WAYNE DAVIS (NPI# 1104896745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104896745 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY WAYNE DAVIS |
| Credential | LCSW |
| Practice Address |
283 W Broadway Blvd Jefferson City TN 37760-2302 |
| Mailing Address |
5310 Ward Road Suite 106 Arvada CO 80002-1829 |
| Practice Telephone | 8654758037 |
| Mailing Telephone | 8778384783 |
| Mailing Fax Number | 8883415050 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2009-05-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
4142 | TN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629623418 | Timothy Davis | Physical Therapist | 2748 Colonial Dr Ste A, Helena, MT 59601-4947 | 2019-08-07 |
| 1013153725 | Timothy Davis | Physician Assistant | 306 Laurel Oaks Way, Jupiter, FL 33458-8873 | 2008-12-30 |
| 1376703306 | Timothy Alvin Davis | Specialist | 2914 Westmoreland Dr, Birmingham, AL 35223-2726 | 2008-06-12 |
| 1669672721 | Timothy Andrew Davis | Social Worker | 208 87th Ave Se, Everett, WA 98205-1500 | 2007-07-18 |
| 1245440023 | Timothy Scott Davis | Dentist | 4933 Tamiami Trl N, Suite 100, Naples, FL 34103-3028 | 2007-05-23 |
| 1215066246 | Timothy P Davis | Family Medicine | 9327n 3rd Street, 100, Phoenix, AZ 85020 | 2007-03-05 |
| 1477629319 | Timothy R Davis | Chiropractor | 1805 Park Avenue West, Mansfield, OH 44906 | 2006-11-24 |
| 1952491607 | Timothy L. Davis | Dentist | 1002 Meridian Ave, Cozad, NE 69130-1757 | 2006-10-13 |
| 1255442372 | Timothy Powell Davis | Psychiatry & Neurology | 470 Washington St Ste 22, Norwood, MA 02062-2343 | 2006-08-31 |
| 1326153198 | Timothy C Davis | Nurse Practitioner | 104 S Park Dr, Brownwood, TX 76801-5918 | 2006-08-20 |
| Street Address |
283 W BROADWAY BLVD |
| City | JEFFERSON CITY |
| State | TN |
| Zip Code | 37760-2302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316425721 | Jenna Marie Frost | Nurse Practitioner | 283 W Broadway Blvd, Jefferson City, TN 37760-2302 | 2018-07-30 |
| 1902056740 | Wanda Kay Agent Nicholson | Physical Therapist | 283 W Broadway Blvd, Jefferson City, TN 37760-2302 | 2008-09-29 |
| 1124278932 | Melissa Seals | Physical Therapy Assistant | 283 W Broadway Blvd, Jefferson City, TN 37760-2302 | 2008-09-29 |
| 1376614164 | Jefferson Operator LLC | Skilled Nursing Facility | 283 W Broadway Blvd, Jefferson City, TN 37760-2302 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699235929 | Emmley L Cole | Nurse Practitioner | 277 E W Broadway Blvd, Jefferson, TN 37760 | 2019-03-22 |
| 1275044877 | Cindy Anderson | Nurse Practitioner | 277 E Broadway Blvd, Jefferson City, TN 37760 | 2017-10-23 |
| 1801259940 | Mcfarland Group, Inc. | Durable Medical Equipment & Medical Supplies | 665 E Broadway Blvd, Jefferson City, TN 37760 | 2016-04-04 |
| 1124422266 | Penny Williams-cordeiro | Nurse Practitioner | 1901 Brookside Drive, Suite 105, Kingsport, TN 37760 | 2014-10-17 |
| 1215363841 | Lindsey Ann Clyde | Physician Assistant | 120 Hospital Dr Ste 130, Jefferson City, TN 37760 | 2013-09-14 |
| 1679849814 | Allison Renee Farris | Surgery | 120 Hospital Dr Ste G20, Jefferson City, TN 37760 | 2012-03-31 |
| 1245562891 | Steven Jarvis Monroe | Dentist | 156 W. Broadway Blvd., Jefferson City, TN 37760 | 2010-02-08 |
| 1952560625 | Summit Medical Group,pllc | Internal Medicine | 380 W Broadway Blvd, Jefferson City, TN 37760 | 2008-06-06 |
| 1780756189 | Steven J Monroe Dds PC | Dentist | 156 W Broadway Blvd, Jefferson City, TN 37760 | 2006-11-14 |
| 1720188600 | Dennis U Spjut | Psychologist | 732 E Jefferson St, Dennis Spjut Phd, Jefferson City, TN 37760 | 2006-09-22 |
| Find all providers in zip 37760 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275154825 | Jessica Rea Harris | Social Worker | 409 Capitol View Dr, Jefferson City, MO 65101-3904 | 2020-05-05 |
| 1962983841 | Stephen Field Keohane | Social Worker | 331 Freedom Ln, Jefferson City, TN 37760-4132 | 2018-08-28 |
| 1609201896 | Brian Jesse Page | Social Worker | 2302 Militia Dr, Jefferson City, MO 65101-1203 | 2013-09-06 |
| 1093090508 | Sunrise Counseling LLC | Social Worker | 1808a Southwest Blvd, Jefferson City, MO 65109-2438 | 2011-10-15 |
| 1619257326 | Re-entry Transitions Counseling, L.L.C. | Social Worker | 1001 Southwest Blvd Ste F, Jefferson City, MO 65109-2501 | 2011-08-25 |
| 1306017132 | Harry Frederick Morlock Sr. | Social Worker | 972 Westwood Dr, Jefferson City, MO 65109-1863 | 2008-03-19 |
| 1104948769 | Kenneth Mark Skouby | Social Worker | 515a East Mccarty, Jefferson City, MO 65101 | 2007-04-04 |
| 1699702225 | Jennifer Lynn Mccullough | Social Worker | 909 Missouri Blvd, Suite F, Jefferson City, MO 65109-1771 | 2006-06-27 |
| 1013518513 | Jennie M Harvat | Social Worker | 227 Metro Dr, Jefferson City, MO 65109-1134 | 2020-11-03 |
| 1336748052 | Cynde Marie Patrick | Social Worker | 227 Metro Dr, Jefferson City, MO 65109-1134 | 2020-10-23 |
| Find all providers in JEFFERSON CITY | ||||
| City | JEFFERSON CITY |
| Zip Code | 37760 |
Please comment or provide details below to improve the information on MR. TIMOTHY WAYNE DAVIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.