JENNI E. DAVIS LCSW, CADC
NPI 1154468130
Social Worker - Clinical in Portland, ME

Q: What is Jenni Davis's NPI number?

The NPI number for Jenni Davis is 1154468130. It was assigned to this individual provider in the NPPES registry on January 31, 2007. The provider is also known as Jenni E. Stafford Msw.

Q: What is Jenni 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 Jenni Davis was last updated on June 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 January 31, 2007

165 LANCASTER STREET, PORTLAND, ME 04101(207) 874-1030(207) 874-1044 Get Directions Write a Review

NPPES record last updated: June 22, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 22, 2016, Feb 12, 2016 (2 updates tracked since 2016).

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About Jenni E. Davis Lcsw, Cadc NPPES

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

JENNI E. DAVIS LCSW, CADC (NPI 1154468130) is an individual clinical provider in Portland, Maine, licensed in Maine (LC12418) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1154468130

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJENNI E. DAVISCredential: LCSW, CADC

Location Address165 LANCASTER STREETPortland, ME 04101-2406

Mailing Address78 Atlantic PlaceSouth Portland, ME 04106-2316 · (207) 661-6654 · Fax (207) 842-7773

Phone(207) 874-1030

Fax(207) 874-1044

Sole ProprietorNo

Enumeration DateJanuary 31, 2007

Last NPPES UpdateJune 22, 20162 updates tracked since enumeration

✔ NPI 1154468130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in ME · LC12418

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CAC4311 (ME)

165 LANCASTER STREET, Portland, ME 04101

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Other Names 1

Former Name (1)Jenni E. Stafford Msw

Other Identifiers 1

Medicare PINE400285812ME

Other Providers at the Same Location NPPES 9

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

PHYLLIS CHINLUND LCSW

Social Worker (Clinical)