Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Timothy Wayne Davis, LCSW

Individual provider Clinical Social Worker · NPI 1104896745

Mr. Timothy Wayne Davis, LCSW is a Clinical Social Worker in Jefferson City, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

283 W Broadway Blvd
Jefferson City, TN 37760-2302
Phone: (865) 475-8037
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 4142 (TN)

Record details

NPI number1104896745
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 25, 2006
Last updated in NPPESMay 19, 2009
Mailing address5310 Ward Road, Suite 106, Arvada, CO 80002-1829

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