MS. JACQUELINE DAVIS (NPI# 1104137736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104137736 |
| Entity Type | Individual |
| Full Name | MS. JACQUELINE DAVIS |
| Credential | LLMSW |
| Practice Address |
276 Cherokee Rd Pontiac MI 48341-2004 |
| Practice Telephone | 5868230212 |
| Mailing Telephone | 5868230212 |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2010-06-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801091877 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366098782 | Jacqueline Davis | Technician | 430 Brushfield Park Dr, Elgin, SC 29045-8397 | 2019-08-12 |
| 1801373550 | Jacqueline Davis | Counselor | 1380 Sw Swantown Ave Apt G, Oak Harbor, WA 98277-7523 | 2018-07-25 |
| 1285126557 | Jacqueline Davis | Counselor | 1309 Northup St Ste F, Reidsville, NC 27320-5611 | 2018-06-03 |
| 1891218376 | Jacqueline Denise Davis | Home Health Aide | 5340 M St Ne, Magnolia, OH 44643-8466 | 2017-07-17 |
| 1285169730 | Jacqueline Davis | Registered Nurse | Barbel Plaza South, First Floor, Ross Building, St. Thomas, VI 00802 | 2017-04-21 |
| 1972058444 | Jacqueline Davis | Nurse Practitioner | 925 Woodland Brk, Mcdonough, GA 30253-5578 | 2016-08-24 |
| 1730523341 | Jacqueline Davis | Licensed Practical Nurse | 2305 Staborn Dr, Beloit, WI 53511-2737 | 2013-04-25 |
| 1457623621 | Jacqueline A Davis | Counselor | 511 W Grove St Ste 204, Middleboro, MA 02346-1479 | 2012-02-03 |
| 1962726687 | Jacqueline Williams Davis | Pharmacist | 200 Georgia Ave, Valdosta, GA 31698 | 2010-03-24 |
| 1467574954 | Jacqueline Bryant Davis | Speech-Language Pathologist | 3572 N Tanglewood Ln, Shelbyville, IN 46176-9444 | 2007-04-04 |
| Street Address |
276 CHEROKEE RD |
| City | PONTIAC |
| State | MI |
| Zip Code | 48341-2004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415837 | Brittany Taylor Shandor | Registered Nurse | 32 East, 1200 Telegraph Rd, Pontiac, MI 48341 | 2020-10-22 |
| 1013534999 | Siddharth Chopra | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue Saint Joseph Mercy Oakland Hospit, Medical Education H-23, Pontiac, MI 48341 | 2020-06-26 |
| 1972120962 | Tara Elizabeth Bjorklund | Obstetrics & Gynecology | 44405 Woodward Ave - H23, St. Joseph Mercy Oakland - Gme Office, Pontiac, MI 48341 | 2020-06-25 |
| 1245856145 | Sarah Fatima | Student in an Organized Health Care Education/Training Program | St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 | 2020-06-17 |
| 1407471188 | Tyler Schaefer | Emergency Medical Technician, Basic | 32east 1200 N. Telegraph Rd., Pontiac, MI 48341 | 2020-06-09 |
| 1639793581 | Yash Kirankumar Varma | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 | 2020-06-05 |
| 1326661687 | Fnu Kavita | Student in an Organized Health Care Education/Training Program | C/o Shelly Casey, St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue Medical Education - H23, Pontiac, MI 48341 | 2020-05-21 |
| 1801452578 | Lolita Curry | Registered Nurse | 32 East 1200 Telegraph, Pontiac, MI 48341 | 2019-05-17 |
| 1619530060 | Priyadarshini Dixit | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue, St. Joseph Mercy Oakland Hospita, Pontiac, MI 48341 | 2019-04-20 |
| 1891358370 | Anil Gurpersaud | Student in an Organized Health Care Education/Training Program | 44405 Woodward Ave., St. Joseph Mercy Oakland, Pontiac, MI 48341 | 2019-04-19 |
| Find all providers in zip 48341 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028363 | Ashley Nichole Frizzell | Social Worker | 310 E Howard St, Pontiac, IL 61764-2033 | 2020-09-22 |
| 1598117533 | Meghan Ann Whitenton | Social Worker | 461 W Huron St # 107, Pontiac, MI 48341-1601 | 2016-07-01 |
| 1346649324 | Patrick Laus | Social Worker | 35 S Johnson St Ste 3c, Pontiac, MI 48341-1662 | 2014-08-15 |
| 1831519008 | Mary E. Rodgers | Social Worker | 58 Newberry St, Pontiac, MI 48341-1136 | 2014-04-25 |
| 1104244953 | Ennis Center for Children, Inc | Social Worker | 91 S Telegraph Rd, Pontiac, MI 48341-1580 | 2014-03-30 |
| 1356642524 | Lotus Care LLC | Social Worker | 280 Bondale Ave, Pontiac, MI 48341-2720 | 2010-11-04 |
| 1669787271 | Tradina Taylor | Social Worker | 1200 N Telegraph Rd Bldg 32e, Pontiac, MI 48341-1032 | 2010-08-09 |
| 1104145580 | Malaika Ghenet Ward | Social Worker | 1841 N Perry St, Pontiac, MI 48340-2235 | 2010-05-24 |
| 1184958456 | Annette Renee Richards | Social Worker | 136 Cherokee Rd, Pontiac, MI 48341-2001 | 2009-09-19 |
| 1467666339 | Cassandra Thomas | Social Worker | 296 3rd Ave, Pontiac, MI 48340-2815 | 2007-05-10 |
| Find all providers in PONTIAC | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.