Linda Jane Davis, LCSW, LPC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW005997 Issued in GA

Practice address

1107 Brewton Lovett Rd
Dublin, GA 31027-3299

Phone

(478) 278-1898

NPI assigned

Jul 16, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597536000000",
    "number": "1154762391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 BREWTON LOVETT RD",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310273299",
            "telephone_number": "478-278-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 BREWTON LOVETT RD",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310273299",
            "telephone_number": "478-278-1898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LINDA",
        "middle_name": "JANE",
        "credential": "LCSW, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-16",
        "last_updated": "2020-08-16",
        "certification_date": "2020-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC007025",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Anthony Davis, MD
• Henry Gene Davis Jr., CPS
• Jelani Gemar Davis, PHARM.D
• Kristin Watson Davis, PA-C
• Lawton C. Davis, M.D.
• Ranada Davis, LPN
• Robert A Davis, PHARMD
• Shondra Nicole Davis
• Tiffeny Davis, LPC
• Michelle Lynne Deeves, DO

• Clinical Social Worker in Dublin, GA
• Providers in Dublin, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.