NPIMap

Individual provider Active NPI

Janet S Davis, LCSW

  • Clinical Social Worker
  • Pensacola, FL
National Provider Identifier
1750377396
Registry record updated Oct 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW3077 Issued in FL
Practice address
9013 University Parkway
Suite C
Pensacola, FL 32514-9416
Phone
(850) 478-7800
Fax
(850) 478-7802
NPI assigned
Sep 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW3077 FL Primary

Addresses

Primary practice location

9013 University Parkway
Suite C
Pensacola, FL 32514-9416

Mailing address

9013 University Parkway
Suite C
Pensacola, FL 32514-9416
Phone (850) 478-7800

Other names 1

  • Jan Davis Other name

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223856000000",
    "number": "1750377396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9013 UNIVERSITY PARKWAY",
            "address_2": "SUITE C",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325149416",
            "telephone_number": "850-478-7800",
            "fax_number": "850-478-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9013 UNIVERSITY PARKWAY",
            "address_2": "SUITE C",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325149416",
            "telephone_number": "850-478-7800",
            "fax_number": "850-478-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JANET",
        "middle_name": "S",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2008-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW3077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAN",
            "last_name": "DAVIS",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2008; 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.