Individual provider · Type 1 NPI

Ebony R. Davis, LCSW

Clinical Social Worker · Jacksonville, FL

NPI number 1891293692 Active

Practice location

5422 Cresta Way
Jacksonville, FL 32211-5515

Fax (904) 212-2509

Mailing address

PO Box 2384
Jacksonville, FL 32203-2384

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XSW15083 (FL)
Clinical Social Worker Primary 1041C0700X15083SW (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 1891293692

Ebony R. Davis, LCSW's National Provider Identifier is 1891293692, issued on Jan 26, 2018. 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 26, 2018.