JANE ELLEN DAVIS (NPI# 1659764694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659764694 |
Entity Type | Individual |
Full Name | JANE ELLEN DAVIS |
Credential | LCSW |
Practice Address |
137 Hospital Dr Ne Fort Walton Beach FL 32548-5063 |
Mailing Address |
16400 Us Highway 331 S, Suite B2 #296 Freeport FL 32439 |
Practice Telephone | 8508337500 |
Practice Fax Number | 8508337528 |
Mailing Telephone | 8503336828 |
Enumeration Date | 2015-03-16 |
Last Update Date | 2020-05-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW12598 | FL | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336598945 | Jane Davis | Social Worker | 13 E Old Agua Fria Rd, Santa Fe, NM 87508-5970 | 2016-06-06 |
1215384771 | Jane Mcgehee Davis | Home Health Aide | 3007 Brevard Ave, Montgomery, AL 36109-2136 | 2016-05-14 |
1053774349 | Jane Davis | Physical Therapist | 64 April Wind Dr S, Montgomery, TX 77356-5966 | 2016-04-04 |
1487996971 | Jane Daniela Davis | Student in an Organized Health Care Education/Training Program | 2633 E La Palma Ave Apt 25, Anaheim, CA 92806-2344 | 2013-03-22 |
1699024786 | Jane Smith Davis | Pharmacist | 408b East Greer St, Honea Path, SC 29654 | 2012-09-05 |
1306117866 | Jane M Davis | Registered Nurse | 327 E Marquette St, Appleton, WI 54911-2843 | 2012-01-14 |
1871753947 | Jane M Davis | Counselor | 1150 Moores Mill Rd Nw, Atlanta, GA 30327-1646 | 2008-06-12 |
1902029804 | Jane K Davis | Dentist | 1509 Cedar Cliff Dr, Camp Hill, PA 17011-7720 | 2007-04-10 |
1518071497 | Jane Baron Davis | Physician Assistant | Highway 127, Shoshone, CA 92384-0158 | 2006-08-18 |
1285170589 | Jane Davis | Clinic/Center | 448 Lakeshore Pkwy, Rock Hill, SC 29730-4264 | 2017-01-10 |
Street Address |
137 HOSPITAL DR NE |
City | FORT WALTON BEACH |
State | FL |
Zip Code | 32548-5063 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629042080 | Jonathan Craig Boydston | Social Worker | 137 Hospital Dr Ne, Fort Walton Beach, FL 32548-5063 | 2006-02-14 |
1356942908 | Stefanie Renee Fontaine | Case Manager/Care Coordinator | 137 Hospital Dr Ne, Fort Walton Beach, FL 32548-5015 | 2020-11-02 |
1003415076 | Roberta Leigh Welch | Social Worker | 137 Hospital Dr Ne, Fort Walton Beach, FL 32548-5015 | 2020-10-21 |
1174169080 | Bridgeway Center, Inc | General Practice | 137 Hospital Dr Ne, Fort Walton Beach, FL 32548-5015 | 2019-11-26 |
1689219446 | Jordan Zemis Miles | Physician Assistant | 137 Hospital Dr Ne, Fort Walton Beach, FL 32548-5063 | 2019-11-15 |
1396393443 | Amanda Bernadette Eyer | Nurse Practitioner | 137 Hospital Dr Ne, Fort Walton Beach, FL 32548-5063 | 2019-09-03 |
1366000432 | Bridgeway Health Clinics, Inc. | Family Medicine | 137 Hospital Dr Ne, Fort Walton Beach, FL 32548-5063 | 2019-06-03 |
1588125298 | April Bullock Burgess | Nurse Practitioner | 137 Hospital Dr Ne, Fort Walton Beach, FL 32548-5063 | 2019-03-26 |
1033679543 | Melissa Meyers | Case Manager/Care Coordinator | 137 Hospital Dr Ne, Fort Walton Beach, FL 32548-5063 | 2019-03-21 |
1801396452 | Victoria Dawn Larson | Social Worker | 137 Hospital Dr Ne, Fort Walton Beach, FL 32548-5063 | 2018-02-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932718426 | Erica Darby | Pharmacist | Publix, 421 Mary Esther Cut Off, Fort Walton Beach, FL 32548 | 2020-07-30 |
1770136681 | Michael Cody Jones | Pharmacist | 251 Miacle Strip Pkwy Se, Fort Walton Beach, FL 32548 | 2019-07-19 |
1346714532 | Alison Ann Gould | Occupational Therapy Assistant | Emerald Coast Heath Care, 114 Third St, Fort Walton Beach, FL 32548 | 2019-01-22 |
1699217695 | Mayra Lopez | Dentist | Blvd. Gomez Morin #8569, Suite 6a, Juarez, CHIHUAHUA 32548 | 2016-11-08 |
1265808455 | Rajiv Tuladhar Dmd Holdings, Pllc | Dentist | 516 Mary Esther Blvd Ste 2, Fort Walton Beach, FL 32548 | 2015-08-11 |
1881090702 | Annette Peadro | Behavioral Analyst | 171 Brooks St, Suite 308, Fort Walton Beach, FL 32548 | 2014-11-05 |
1790037729 | Julie Bradfield | Counselor | 44 Shell Ave, Fort Walton Beach, FL 32548 | 2012-10-15 |
1740559582 | Beth Paula Ritenour | Pharmacist | 414 Mary Esther Cutoff Nw, C, Fort Walton Beach, FL 32548 | 2011-12-23 |
1891080867 | Okaloosa County Council On Aging | Home Health | 207 Hospital Drive, Fort Walton Beach, FL 32548 | 2011-06-17 |
1649580275 | Sharon Renee Wise | Counselor | 44 Shell Avenue Se, Fort Walton Beach, FL 32548 | 2010-10-17 |
Find all providers in zip 32548 |
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 |
---|---|---|---|---|
1790317980 | Susan Marie Howell | Social Worker | 2004 Lewis Turner Blvd Ste B, Fort Walton Beach, FL 32547-1362 | 2020-02-06 |
1013499664 | Kaitlyn Churchman Abadia | Social Worker | 1000 Lukes Way, Fort Walton Beach, FL 32547-1480 | 2018-08-30 |
1740719632 | Dishonda Hopkins | Social Worker | 2533 Georgetown Ln, Fort Walton Beach, FL 32547-6818 | 2017-06-05 |
1134679954 | Sonia Flick | Social Worker | 937 Denton Blvd Nw Apt 35, Fort Walton Beach, FL 32547-1662 | 2016-10-05 |
1881050417 | Sheoah Lynne Hardy | Social Worker | 2004 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1366 | 2016-01-12 |
1013392810 | Terry Abbott | Social Worker | 648 Overbrook Dr, Fort Walton Beach, FL 32547 | 2015-07-22 |
1356741524 | Camella M Taylor | Social Worker | 704 Overbrook Dr, Fort Walton Beach, FL 32547-3530 | 2014-08-25 |
1134463987 | Jenny Meyer | Social Worker | 925 Mar Walt Dr Ste 3, Fort Walton Beach, FL 32547-6609 | 2012-11-18 |
1073718649 | William G Nauman | Social Worker | 137 Hospital Dr. Ne, Fort Walton Beach, FL 32548 | 2007-06-15 |
1184740656 | Elizabeth Ann Mclanahan | Social Worker | 3 Ferry Rd Ne, Fort Walton Beach, FL 32548-5132 | 2007-03-22 |
Find all providers in FORT WALTON BEACH |
City | FORT WALTON BEACH |
Zip Code | 32548 |
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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.