Individual provider · Type 1 NPI

Juno Momoko Davenport, LMSW

Clinical Social Worker · Fort Benning, GA

NPI number 1255932901 Active

Practice location

6600 Van Aalst Blvd
Fort Benning, GA 31905-2102

Other practice locations

  • 6439 Garners Ferry Rd, Columbia, SC 29209-1638 · (803) 776-4000

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X13085 (SC)

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…

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About NPI 1255932901

Juno Momoko Davenport, LMSW's National Provider Identifier is 1255932901, issued on Nov 7, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Benning, GA. The record was last updated on May 29, 2026.