Jacqueline A Davis, LICSW
Social Worker, Clinical in Bridgewater, Massachusetts
1457623621- Practice location
- 1029 Pleasant St Ste 101, Bridgewater, MA 02324-2473
- Phone
- 844-946-2152
- Fax
- —
- Last updated
- February 2, 2022
Jacqueline A Davis is a Social Worker, Clinical based in Bridgewater, MA. Jacqueline A Davis practices in Bridgewater, MA and has the professional credentials of LICSW. The NPI Number for Jacqueline A Davis is 1457623621 and holds a License No. 110796 (MA). The current practice location address for Jacqueline A Davis is 1029 Pleasant St Ste 101, Bridgewater, MA 02324-2473 and can be reached out via phone at 844-946-2152.
Provider Profile Details
- NPI Number
- 1457623621
- Provider Name
- Jacqueline A Davis
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1029 Pleasant St Ste 101, Bridgewater, MA 02324-2473
- Phone Number
- 844-946-2152
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 3, 2012
- Last Update Date
- February 2, 2022
- Certification Date
- February 2, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1029 Pleasant St Ste 101
Bridgewater, MA 02324-2473 - City
- Bridgewater
- State
- Massachusetts
- Zip
- 02324-2473
- Phone Number
- 844-946-2152
Provider Business Mailing Address Details
- Address
- 131 Princess Ln
Raynham, MA 02767-1279 - City
- Raynham
- State
- MA
- Zip
- 02767-1279
- Phone Number
- 774-381-1055
- Fax Number
- 877-308-2202
License Information
- License Number (1)
- 110796
- License State (1)
- MA
- Taxonomy (1)
- Counselor, Mental Health · 101YM0800X
- License Number (2)
- 110796
- License State (2)
- MA
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jacqueline A Davis, LICSW?
The NPI number of Jacqueline A Davis, LICSW is 1457623621. It was assigned on February 3, 2012 and is currently active in the NPPES registry.
What is the specialty of Jacqueline A Davis, LICSW?
Jacqueline A Davis, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 110796.
Where does Jacqueline A Davis, LICSW practice?
The practice location is 1029 Pleasant St Ste 101, Bridgewater, MA 02324-2473. The office can be reached at 844-946-2152 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457623621 directly on the NPPES registry website.