Jessica Davison LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JESSICA DAVISON LCSW LLC

Practice address

1100 Southgate Ste 3
Pendleton, OR 97801-3971

Phone

(541) 215-4440

Fax

(541) 429-4118

NPI assigned

Feb 28, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jessica Lynne Davison, LCSWNPI 1821692633

Title

Business Owner

Phone

(503) 758-9133

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Lynne Davison, CSWA

  • Clinical Social Worker
  • Pendleton, OR
  • NPI 1821692633
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1053118752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 SW GOODWIN AVE",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978011723",
            "telephone_number": "503-758-9133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SOUTHGATE STE 3",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978013971",
            "telephone_number": "541-215-4440",
            "fax_number": "541-429-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA DAVISON LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "DAVISON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "503-758-9133",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betty Ann Jensen, CADC II
• Jaini Jenson
• Amanda Michelle Jeppeson, QMHA
• Robert Michael Jepsen, M.D.
• Shaw M. Jerome
• Dolores Ann Jimerson, LCSW
• Allan S. Jio
• Carol Louise Johnson, MTE
• Dominic C Johnson
• Irene Annette Johnson

• Clinical Social Worker in Pendleton, OR
• Providers in Pendleton, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.