Endurance Counseling and Supervision Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ENDURANCE COUNSELING AND SUPERVISION SERVICES, LLC

Practice address

324 Lynnhaven Dr
Hampton, VA 23666-2300

Phone

(757) 964-9543

Fax

(757) 964-9567

NPI assigned

Oct 20, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Jamicia L Davis, PHD, LCSWNPI 1528537271

Title

Ceo and Mental Health Therapist

Phone

(757) 755-3423

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 1

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

• Jamicia Lanece Davis, PHD, LCSW

  • Clinical Social Worker
  • Hampton, VA
  • NPI 1528537271
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1225637218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 LYNNHAVEN DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662300",
            "telephone_number": "757-755-3423",
            "fax_number": "757-755-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 LYNNHAVEN DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662300",
            "telephone_number": "757-964-9543",
            "fax_number": "757-964-9567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDURANCE COUNSELING AND SUPERVISION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JAMICIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO AND MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "757-755-3423",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Hampton, VA
• Providers in Hampton, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.