Individual provider · Type 1 NPI

Deidra D. Davis, LCSW

Clinical Social Worker · Jacksonville, FL

NPI number 1821867425 Active

Practice location

836 Prudential Dr Ste 1507
Jacksonville, FL 32207-8342

Call (904) 376-3800 Map

Fax (904) 390-7516

Mailing address

PO Box 748519
Atlanta, GA 30374-8519

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW22237 (FL)

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 1821867425

Deidra D. Davis, LCSW's National Provider Identifier is 1821867425, issued on Dec 22, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jacksonville, FL. The record was last updated on Jan 20, 2026.