JESSICA LYNN DAVIS LCSW
NPI 1730703950
Social Worker - Clinical in Charlotte, NC

Q: What is Jessica Davis's NPI number?

The NPI number for Jessica Davis is 1730703950. It was assigned to this individual provider in the NPPES registry on June 3, 2020.

Q: What is Jessica 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 Jessica Davis was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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 03, 2020PECOS EnrolledAccepts Medicare Assignment

6849 FAIRVIEW RD STE 702, CHARLOTTE, NC 28210(980) 308-4500(980) 458-6037 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 24, 2025, Mar 3, 2023, Nov 14, 2022 and 3 more (6 updates tracked since 2020).

On this page

About Jessica Lynn Davis Lcsw NPPES

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

JESSICA LYNN DAVIS LCSW (NPI 1730703950) is an individual clinical provider in Charlotte, North Carolina, licensed in North Carolina (C015575) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1730703950

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJESSICA LYNN DAVISCredential: LCSW

Location Address6849 FAIRVIEW RD STE 702Charlotte, NC 28210-3393

Mailing Address5200 Park Rd Ste 102cCharlotte, NC 28209-3650 · (704) 433-5267

Phone(980) 308-4500

Fax(980) 458-6037

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateJune 3, 2020

Last NPPES UpdateJune 24, 20256 updates tracked since enumeration

NPPES CertifiedJune 24, 2025

✔ NPI 1730703950 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 NC · C015575

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 ListedBehavior TechnicianTaxonomy 106S00000X

6849 FAIRVIEW RD STE 702, Charlotte, NC 28210

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Secondary Practice Locations 2

Location 13000 Latrobe DrCharlotte, NC 28211-5226 · Phone (704) 780-4271 · Fax (888) 261-6694

Location 25200 Park Rd Ste 102CCharlotte, NC 28209-3650 · Phone (704) 433-5267

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Lynn Davis Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335511179

PECOS Enrollment IDI20230204000376

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Jessica Davis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatric And Family Behavioral Health Acquisition Group PLLC

4.4 mi

Psychiatry

10420 PARK RD STE 300
Charlotte, NC 28210

Reassigned Medicare billing, North Carolina enrollment
17 clinicians in this Medicare group

NPI 1770056038 (980) 237-4766

Telos Health Systems Nc PLLC

29 mi

Internal Medicine

550 GLENWOOD DR
Mooresville, NC 28115

Reassigned Medicare billing, North Carolina enrollment
Medicare enrollment name: Vitae Health Medical North Carolina PLLC
121 clinicians in this Medicare group

NPI 1265064414 (201) 217-6777

Chestnut Knoll Physicians Group PC

594 mi

Geriatric Medicine

5 RESEARCH DR
Shelton, CT 06484

Reassigned Medicare billing, North Carolina enrollment
30 clinicians in this Medicare group

NPI 1780477729 (203) 901-2493

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.

989 services66 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

68 services57 patients

Psychiatric diagnostic evaluation 90791

13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.12 – $165.09

Typical copayment $0.00 (range $13.53 – $41.27)

Most-billed visit code NA

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

JACIE MADISON GAILEY LCMHCA

Counselor (Mental Health)