JESSICA SUMMER DAVIS CSC-AD
NPI 1083390405
Counselor - Addiction (Substance Use Disorder) in Edgewood, MD

Q: What is Jessica Davis's NPI number?

The NPI number for Jessica Davis is 1083390405. It was assigned to this individual provider in the NPPES registry on June 22, 2023.

Q: What is Jessica Davis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Davis was last updated on June 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 22, 2023

1308 BUSINESS CENTER WAY, EDGEWOOD, MD 21040(443) 461-3311 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jessica Summer Davis Csc-ad NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA SUMMER DAVIS CSC-AD (NPI 1083390405) is an individual addiction (substance use disorder) provider in Edgewood, Maryland, licensed in Maryland (SC2913) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1083390405

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameJESSICA SUMMER DAVISCredential: CSC-AD

Location Address1308 BUSINESS CENTER WAYEdgewood, MD 21040-1504

Mailing Address1308 Business Center WayEdgewood, MD 21040-1504

Phone(443) 461-3311

Sole ProprietorNo

Enumeration DateJune 22, 2023

NPPES CertifiedJune 22, 2023

✔ NPI 1083390405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in MD · SC2913

1308 BUSINESS CENTER WAY, Edgewood, MD 21040

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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KEITH EDWIN MOOMAW DDS

Dentist

1308 BUSINESS CENTER WAY, SUITE 105
EDGEWOOD, MD 21040

Harford County (410) 679-2790

CHESAPEAKE CONTEMPORARY DENTISTRY, P.A.

Dentist

1308 BUSINESS CENTER WAY, SUITE 105
EDGEWOOD, MD 21040

Harford County (410) 679-2790

KATOANH SHARRELL PHILLIP

Counselor (Addiction (Substance Use Disorder))

1308 BUSINESS CENTER WAY
EDGEWOOD, MD 21040

Harford County (443) 461-3311

DR. PETER HAMILTON ROTH DDS

Dentist (General Practice)

1308 BUSINESS CENTER WAY, SUITE 105
EDGEWOOD, MD 21040

Harford County (410) 679-2790

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Davis's NPI number?

The NPI number for Jessica Davis is 1083390405. It was assigned to this individual provider in the NPPES registry on June 22, 2023.

Where is Jessica Davis located?

Jessica Davis practices at 1308 Business Center Way, Edgewood, MD 21040. The listed phone number is (443) 461-3311.

What is Jessica Davis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jessica Davis was last updated on June 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.