MISS JENNIFER SMITH DAVIS LCSW
NPI 1154030385
Social Worker - Clinical in Fairfax, VA

Q: What is Jennifer Davis's NPI number?

The NPI number for Jennifer Davis is 1154030385. It was assigned to this individual provider in the NPPES registry on November 16, 2022.

Q: What is Jennifer Davis's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Davis was last updated on July 19, 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 November 16, 2022

8500 EXECUTIVE PARK AVE STE 202, FAIRFAX, VA 22031(703) 852-7020(703) 289-4612 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 19, 2023, Nov 16, 2022 (2 updates tracked since 2022).

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About Miss Jennifer Smith Davis Lcsw NPPES

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

MISS JENNIFER SMITH DAVIS LCSW (NPI 1154030385) is an individual clinical provider in Fairfax, Virginia, licensed in Virginia (0904014303) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1154030385

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMISS JENNIFER SMITH DAVISCredential: LCSW

Location Address8500 EXECUTIVE PARK AVE STE 202Fairfax, VA 22031-2253

Mailing Address1805 Monument Ave Apt 601Richmond, VA 23220-2822 · (609) 651-3678

Phone(703) 852-7020

Fax(703) 289-4612

Sole ProprietorNo

Enumeration DateNovember 16, 2022

Last NPPES UpdateJuly 19, 20232 updates tracked since enumeration

NPPES CertifiedJuly 19, 2023

✔ NPI 1154030385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in VA · 0904014303

Definition

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.

8500 EXECUTIVE PARK AVE STE 202, Fairfax, VA 22031

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Other Providers at the Same Location NPPES 8

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

SONGKI PARK NP

Nurse Practitioner (Psychiatric/Mental Health)