Jeffrey Davis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

009112 Issued in CT

Practice address

32 Hunting Ridge Farms Rd
Branford, CT 06405-6131

Phone

(203) 525-3513

NPI assigned

Aug 24, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1194192419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 HUNTING RIDGE FARMS RD",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064056131",
            "telephone_number": "203-525-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 HUNTING RIDGE FARMS RD",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064056131",
            "telephone_number": "203-525-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JEFFREY",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "009112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Paul Daigneault, M.D.
• Shiney Daniel
• Antonio Daria Jr., DO
• Morgan Daur-Schierholz, SLP
• David J. Goodkind, MD, PC
• Andrea Antoinette Deboer, MFT
• Kathryn Lyn Delia, RPH
• Jeffrey M. Delott, D.P.M.
• Peter A. Deluca, M.D.
• Anita Marie Delucia, PT

• Clinical Social Worker in Branford, CT
• Providers in Branford, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.