Provider Demographics
NPI:1942925714
Name:DAVIS, TESS (LCSW)
Entity type:Individual
Prefix:
First Name:TESS
Middle Name:
Last Name:DAVIS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3307 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23221-1506
Mailing Address - Country:US
Mailing Address - Phone:804-335-7398
Mailing Address - Fax:
Practice Address - Street 1:3307 PARK AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23221-1506
Practice Address - Country:US
Practice Address - Phone:804-335-7398
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-05
Last Update Date:2025-04-18
Deactivation Date:2024-08-05
Deactivation Code:
Reactivation Date:2025-01-06
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical