Organization Active NPI

Janna L. Davenport, LCSW, LLC

  • Social Worker
  • Panama City, FL
National Provider Identifier
1427328012
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW6160 Issued in FL
Legal business name
JANNA L. DAVENPORT, LCSW, LLC
Practice address
1514 W 23Rd St
Panama City, FL 32405-2905
Phone
(305) 962-4849
Fax
(850) 285-2082
NPI assigned
Jan 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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

Authorized official

Name
Mrs. Janna L Davenport, LCSW
Title
Owner
Phone
(305) 962-4849

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X SW6160 FL Primary

Addresses

Primary practice location

1514 W 23Rd St
Panama City, FL 32405-2905

Mailing address

704 Monty Cir
Panama City, FL 32405-3297
Phone (305) 962-4849

National Provider Directory

National Provider Directory

Locations

1514 W 23rd St
Panama City, FL 32405
Phone (850) 481-1101

NPI Registry JSON

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1427328012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 MONTY CIR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053297",
            "telephone_number": "305-962-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 W 23RD ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324052905",
            "telephone_number": "305-962-4849",
            "fax_number": "850-285-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANNA L. DAVENPORT, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "JANNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-962-4849",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "FL",
            "license": "SW6160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.