Jessica Lynn Davis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C015575 Issued in NC

Practice address

6849 Fairview Rd Ste 702
Charlotte, NC 28210-3393

Phone

(980) 308-4500

Fax

(980) 458-6037

NPI assigned

Jun 3, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pediatric and Family Behavioral Health Acquisition Group PLLCGroup PAC ID 8820419120, 15 clinicians

Vitae Health Medical North Carolina PLLCGroup PAC ID 7719317932, 41 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Pediatric and Family Behavioral Health Acquisition Group PLLC

  • Psychiatry Physician
  • Charlotte, NC
  • NPI 1770056038
  Medicare reassignment Care Compare group NPD
• Vitae Health Medical North Carolina, PLLC

  • Internal Medicine Physician
  • Mooresville, NC
  • NPI 1265064414
  Medicare reassignment Care Compare group NPD
• Chestnut Knoll Physicians Group PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Shelton, CT
  • NPI 1780477729

  NC

  Medicare reassignment
• The Jenkins Creative Counseling Center, PLLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1447845821

  Clinical

  NPD
• Cauthen Counseling and Consulting, PLLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1144710229

  Clinical

  NPD (past)

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1730703950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 PARK RD STE 102C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093650",
            "telephone_number": "704-433-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6849 FAIRVIEW RD STE 702",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103393",
            "telephone_number": "980-308-4500",
            "fax_number": "980-458-6037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Latrobe Dr",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282115226",
            "country_code": "US",
            "telephone_number": "704-780-4271",
            "fax_number": "888-261-6694",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5200 Park Rd Ste 102C",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282093650",
            "country_code": "US",
            "telephone_number": "704-433-5267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-03",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C015575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Leigh Davis, MD
• James A Davis, M.D
• Jamineka Davis
• Jeremiah Paul Davis, PA
• Jessica Davis, PHARMD
• Jessica P Davis, SLP
• John Bryon Davis, CPSS
• Joshua Seth Davis, MD
• Juaniska Salinta Davis, LCSWA
• Kasorn Davis

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.