Active NPI
Jill L Davis, MSSW
- Clinical Social Worker
- Verona, WI
National Provider Identifier
1508826645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2654
- Practice address
- 100 N Nine Mounds Road
Verona, WI 53593 - Phone
- (608) 845-9531
- NPI assigned
- Mar 24, 2006
- Last updated
- Jul 13, 2026
- 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 | 2654 | WI | Primary |
Addresses
Primary practice location
100 N Nine Mounds Road
Verona, WI 53593
Mailing address
8007 Excelsior Drive
Madison, WI 53717
Phone (608) 829-5247
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39261400 | Medicaid | WI |
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 |
|---|---|---|---|
| 2654 | WI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1508826645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8007 EXCELSIOR DRIVE",
"city": "MADISON",
"state": "WI",
"postal_code": "53717",
"telephone_number": "608-829-5247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N NINE MOUNDS ROAD",
"city": "VERONA",
"state": "WI",
"postal_code": "53593",
"telephone_number": "608-845-9531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JILL",
"middle_name": "L",
"credential": "MSSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "2654",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39261400",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Verona, WI
- Sheza Dalloul, MD
- Laura Daly, MA, MS, LPC-IT
- Gagandeep Singh Dang, DDS
- Daniel J Wadzinski DDS SC
- Hiqmet Dauti
- Dean Health Systems, Inc. (SSM Health Dean Medical Group)
- Dean Retail Services, Inc. (SSm Health Davis Duehr Dean Eye Care)
- Abigail Densing, PHARMD
- Janelle Derose, RN
- Kathleen A Desantes, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.