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MR. TIMOTHY WAYNE DAVIS LCSW
NPI 1104896745
Social Worker - Clinical in Jefferson City, TN

Active since January 25, 2006PECOS Enrolled
283 W BROADWAY BLVD, JEFFERSON CITY, TN 37760(865) 475-8037 Get Directions Write a Review

NPPES record last updated: May 19, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Timothy Wayne Davis Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TIMOTHY WAYNE DAVIS LCSW (NPI 1104896745) is an individual clinical provider in Jefferson City, Tennessee, licensed in Tennessee (4142) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104896745
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. TIMOTHY WAYNE DAVISCredential: LCSW
Location Address283 W BROADWAY BLVDJefferson City, TN 37760-2302
Mailing Address5310 Ward Road, Suite 106Arvada, CO 80002-1829 · (877) 838-4783 · Fax (888) 341-5050
Phone(865) 475-8037
Sole ProprietorYes
Enumeration DateJanuary 25, 2006
Last NPPES UpdateMay 19, 2009
✔ NPI 1104896745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TN · 4142
Definition
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.
283 W BROADWAY BLVD, Jefferson City, TN 37760
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Other Identifiers 1

Medicare ID-Type Unspecified3925113TN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Timothy Wayne Davis Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37760 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.64 – $160.89
Typical copayment $0.00 (range $13.16 – $40.22)
Most-billed visit code NA
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA SEALS PTA
Physical Therapy Assistant
283 W BROADWAY BLVD
JEFFERSON CITY, TN 37760
Jefferson County (865) 362-1520
JENNA MARIE FROST PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
283 W BROADWAY BLVD
JEFFERSON CITY, TN 37760
Jefferson County (865) 330-7425
JEFFERSON OPERATOR LLC
Skilled Nursing Facility
283 W BROADWAY BLVD
JEFFERSON CITY, TN 37760
Jefferson County (865) 475-9037
HANNA WALKER MS, CCC-SLP
Speech-Language Pathologist
283 W BROADWAY BLVD
JEFFERSON CITY, TN 37760
Jefferson County (865) 475-9037
SYDNIE JORDAN HODGE
Physical Therapist
283 W BROADWAY BLVD
JEFFERSON CITY, TN 37760
Jefferson County (865) 475-9037
LAUREN WILLIAMS
Occupational Therapist
283 W BROADWAY BLVD
JEFFERSON CITY, TN 37760
Jefferson County (865) 475-9037
WANDA KAY AGENT NICHOLSON PT
Physical Therapist
283 W BROADWAY BLVD
JEFFERSON CITY, TN 37760
Jefferson County (865) 475-9967

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Davis's NPI number?

The NPI number for Timothy Davis is 1104896745. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is Timothy Davis located?

Timothy Davis practices at 283 W Broadway Blvd, Jefferson City, TN 37760. The listed phone number is (865) 475-8037.

What is Timothy Davis's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Timothy Davis enrolled in Medicare?

Yes. Timothy Davis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Timothy Davis was last updated on May 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.