Active NPI
Jessica Lynn Davis, LICSW
- Clinical Social Worker
- Birmingham, AL
National Provider Identifier
1154845782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4034C
- Practice address
- 530 Beacon Pkwy W Ste 401
Birmingham, AL 35209-3196 - Phone
- (205) 986-9130
- NPI assigned
- Jul 26, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4034C | AL | Primary |
Addresses
Primary practice location
530 Beacon Pkwy W Ste 401
Birmingham, AL 35209-3196
Mailing address
1204 45TH St W
Birmingham, AL 35208-1806
Phone (205) 335-5252
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154845782 | Other | AL | NPI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | jessjen0502@gmail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4034C | AL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspire Counseling and Consulting LLC | Clinical | Current | Accepting new patients |
| Lyfesupport LLC | Clinical | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Birmingham, AL
- NPI 1831710508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565827200000",
"number": "1154845782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1204 45TH ST W",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352081806",
"telephone_number": "205-335-5252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 BEACON PKWY W STE 401",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352093196",
"telephone_number": "205-986-9130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JESSICA",
"middle_name": "LYNN",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-26",
"last_updated": "2019-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AL",
"license": "4034C",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1154845782",
"state": "AL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "jessjen0502@gmail.com",
"affiliation": "N",
"address_1": "530 Beacon Pkwy W Ste 401",
"city": "Birmingham",
"state": "AL",
"country_code": "US",
"postal_code": "352093196",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.