Individual provider · Type 1 NPI

Jerry Eugene Davis, PhD

Clinical Social Worker · Fort Wayne, IN

NPI number 1205935392 Active

Practice location

2821 Hillegas Rd
Fort Wayne, IN 46808-3859

Call (260) 471-1950 Map

Fax (260) 471-1950

Mailing address

1406 Cherry St
Huntington, IN 46750-1844

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X39000593A (IN)
Clinical Social Worker Primary 1041C0700X34002606A (IN)
Marriage & Family Therapist 106H00000X35000571A (IN)

Clinical Social Worker: 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 interpers…

105 other providers at this address

Other clinical social worker providers in Fort Wayne

See all in Fort Wayne →

About NPI 1205935392

Jerry Eugene Davis, PhD's National Provider Identifier is 1205935392, issued on Sep 22, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Wayne, IN. The record was last updated on Sep 11, 2025.