Jillian Rose Davenport, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

107016 Issued in TX

Practice address

7550 FM 1187 W
Fort Worth, TX 76126-5109

Phone

(888) 744-2779

Fax

(888) 388-0463

NPI assigned

Aug 17, 2026

Last updated

Aug 17, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1786924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1902711856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PILGRIM LN",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760670621",
            "telephone_number": "773-849-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 FM 1187 W",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761265109",
            "telephone_number": "888-744-2779",
            "fax_number": "888-388-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "JILLIAN",
        "middle_name": "ROSE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-17",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.023028",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09927462",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "107016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Davac LLC
• Jessica Marie Davalos, FNP-C
• Virat Ramesh Dave, M.D.
• Chelsea Davenport, AGACNP
• Jessica Davenport, PA-C
• Norman Alan Davenport, MD
• Staci Lynn Davenport, M.D.
• David a. Nethery, M.D., P.a. (Nethery Eye Associates)
• David Back Clinic of America (DBC Ft. Worth)
• David Back Clinic of America Inc (DBC America Inc)

• Clinical Social Worker in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.

Verify at the official NPI Registry.