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DR. TERI CECILIA DAVIS ED.D., LCSW
NPI 1669825956
Social Worker - Clinical in San Marcos, CA

Active since July 21, 2016Opted out of Medicare · through May 24, 2028
1582 W SAN MARCOS BLVD STE 105, SAN MARCOS, CA 92078(760) 891-2333(833) 437-8374 Get Directions Write a Review

NPPES record last updated: May 25, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Teri Cecilia Davis Ed.d., Lcsw NPPES

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

DR. TERI CECILIA DAVIS ED.D., LCSW (NPI 1669825956) is an individual clinical provider in San Marcos, California, licensed in California (LCSW86976) and active in the NPI registry since July 2016. She has opted out of Medicare through May 24, 2028.

NPPES Registry Identity

NPI1669825956
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDR. TERI CECILIA DAVISCredential: ED.D., LCSW
Location Address1582 W SAN MARCOS BLVD STE 105San Marcos, CA 92078-4081
Mailing AddressPo Box 27712San Diego, CA 92198-1712 · (760) 891-2333
Phone(760) 891-2333
Fax(833) 437-8374
Sole ProprietorYes
Enumeration DateJuly 21, 2016
Last NPPES UpdateMay 25, 2019
✔ NPI 1669825956 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 CA · LCSW86976
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.
1582 W SAN MARCOS BLVD STE 105, San Marcos, CA 92078
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Teri Cecilia Davis Ed.d., Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 24, 2024 through May 24, 2028.

Opt-Out Effective DateMay 24, 2024
Opt-Out In Effect ThroughMay 24, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

KRISTINA S LEO-CASTILLO LMT
Massage Therapist
1582 W SAN MARCOS BLVD STE 105
SAN MARCOS, CA 92078
San Diego County (760) 443-0398
AMY MEREDITH NITECKI OTR/L
Occupational Therapist (Neurorehabilitation)
1582 W SAN MARCOS BLVD STE 105
SAN MARCOS, CA 92078
San Diego County (650) 452-4110
KELLY M. KAITSON LCSW
Social Worker (Clinical)
1582 W SAN MARCOS BLVD STE 105
SAN MARCOS, CA 92078
San Diego County (760) 415-0085
JACLYN SCHWARTZ
Marriage & Family Therapist
1582 W SAN MARCOS BLVD STE 105
SAN MARCOS, CA 92078
San Diego County (858) 367-0876
MARGUERITE S WIDENER LCSW
Social Worker (Clinical)
1582 W SAN MARCOS BLVD STE 105
SAN MARCOS, CA 92078
San Diego County (760) 522-0710
BETTY A PARMENTER
Clinic/Center (Rehabilitation)
1582 W SAN MARCOS BLVD STE 105
SAN MARCOS, CA 92078
San Diego County (760) 203-8474
SOURCE THERAPY LICENSED CLINICAL SOCIAL WORKER SERVICES APC
Social Worker (Clinical)
1582 W SAN MARCOS BLVD STE 105
SAN MARCOS, CA 92078
San Diego County (760) 522-7158

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 Teri Davis's NPI number?

The NPI number for Teri Davis is 1669825956. It was assigned to this individual provider in the NPPES registry on July 21, 2016.

Where is Teri Davis located?

Teri Davis practices at 1582 W San Marcos Blvd Ste 105, San Marcos, CA 92078. The listed phone number is (760) 891-2333.

What is Teri Davis's specialty?

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

Is Teri Davis enrolled in Medicare?

No. Teri Davis has opted out of Medicare through May 24, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Teri Davis was last updated on May 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.