JESSIE DAVIS (NPI# 1528436078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528436078 |
| Entity Type | Individual |
| Full Name | JESSIE DAVIS |
| Credential | LCSWC |
| Practice Address |
5301 Buckeystown Pike Ste 170 Frederick MD 21704-8380 |
| Mailing Address |
13121 Brook Lane Hagerstown MD 21742-1945 |
| Practice Telephone | 3017330330 |
| Practice Fax Number | 3017334038 |
| Mailing Telephone | 3017330330 |
| Mailing Fax Number | 3017334038 |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2018-02-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407470016 | Jessie Lea Davis | Behavior Technician | 110 S Jackson St, Moscow, ID 83843-2038 | 2020-05-31 |
| 1780119412 | Jessie Davis | Emergency Medicine | 1150 N Indian Canyon Dr, Palm Springs, CA 92262-4872 | 2017-05-01 |
| 1275916678 | Jessie Davis | Family Medicine | 1010 4th St Sw, Suite 340, Mason City, IA 50401-2857 | 2015-07-02 |
| Street Address |
5301 BUCKEYSTOWN PIKE STE 170 |
| City | FREDERICK |
| State | MD |
| Zip Code | 21704-8380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912138835 | Creston Zane Baker | Social Worker | 5301 Buckeystown Pike Ste 170, Frederick, MD 21704-8380 | 2009-07-28 |
| 1043842693 | Caroline Kinna | Social Worker | 5301 Buckeystown Pike Ste 170, Frederick, MD 21704-8380 | 2020-02-11 |
| 1306321047 | Samantha Ross | Counselor | 5301 Buckeystown Pike Ste 170, Frederick, MD 21704-8380 | 2018-09-28 |
| 1275028185 | Leah N Lewis | Counselor | 5301 Buckeystown Pike Ste 170, Frederick, MD 21704 | 2018-06-25 |
| 1457844722 | Phoebe Antoinette Underwood-davis | Nurse Practitioner | 5301 Buckeystown Pike Ste 170, Frederick, MD 21704 | 2018-06-12 |
| 1366991937 | Precious Danielle George | Counselor | 5301 Buckeystown Pike Ste 170, Frederick, MD 21704-8380 | 2016-09-23 |
| 1043601347 | Cynthia Kline | Nurse Practitioner | 5301 Buckeystown Pike Ste 170, Frederick, MD 21704-8380 | 2015-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144747148 | Danah Jack | Physical Therapist | 4070 Atterbury Place, Frederick, MD 21704 | 2017-08-29 |
| 1568986891 | Amy Benjamin Slp | Speech-Language Pathologist | 8905 Amelung St, Frederick, MD 21704 | 2017-07-28 |
| 1104352368 | Mentor-maryland | Community/Behavioral Health | 5970 Frederick Crossing Lane, #202, Frederick, MD 21704 | 2017-05-10 |
| 1699193284 | Jiang Tan | Acupuncturist | 3520 Worthington Blvd #101, Frederick, MD 21704 | 2014-04-01 |
| 1326460817 | Jessica Lacayo | Nurse Practitioner | 3350 Worthington Boulevard, Urbana, MD 21704 | 2014-01-17 |
| 1588098818 | Kimberly Kaye Dipietro | Registered Nurse | 9006 Harris Street, Frederick, MD 21704 | 2013-08-22 |
| 1831432525 | Yuqing Meng | Pharmacist | 9317 Elgin Lane, Frederick, MD 21704 | 2013-04-01 |
| 1831446285 | Diane Marie Foland | Behavioral Analyst | 4235 Lafayette Street, Frederick, MD 21704 | 2012-08-03 |
| 1982932695 | Contemporary Therapeutic Services Inc | Community/Behavioral Health | 22 N Potomac Street, Ste 102, Hagerstown, MD 21704 | 2009-11-19 |
| 1942461181 | Hoa T K Lam | Dentist | 7360 Guilford Drive, Suite #102, Frederick, MD 21704 | 2008-06-20 |
| Find all providers in zip 21704 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670045 | Alana Earp | Social Worker | 810 Toll House Avenue, Frederick, MD 21701 | 2019-10-14 |
| 1487134821 | Nicole Angela Tabbachino | Social Worker | 600 W Patrick St, Frederick, MD 21701-4028 | 2018-08-15 |
| 1245785344 | Kaitlin Valeri Kennedy | Social Worker | 144 E South St, Frederick, MD 21701-5636 | 2016-08-18 |
| 1821445545 | Tonilee Lucchino | Social Worker | 1003 W Seventh St Ste 500, Frederick, MD 21701-8512 | 2016-05-23 |
| 1912138835 | Creston Zane Baker | Social Worker | 5301 Buckeystown Pike Ste 170, Frederick, MD 21704-8380 | 2009-07-28 |
| 1194700278 | Heather Goldfarb | Social Worker | 5257 Buckeystown Pike # 496, Frederick, MD 21704-7535 | 2005-12-12 |
| 1629681218 | Michelle Doris Ross | Social Worker | 400 W Seventh St, Frederick, MD 21701-4506 | 2020-08-25 |
| 1427660935 | Bobby Kearse | Social Worker | 1003 W 7th St Ste 500, Frederick, MD 21701-8512 | 2020-08-18 |
| 1184235574 | Jennifer M Howell | Social Worker | 170 Thomas Johnson Dr Ste 200, Frederick, MD 21702-6200 | 2020-08-11 |
| 1619586807 | Medhub Healthcare Inc | Social Worker | 4070 Atterbury Pl, Frederick, MD 21704-7401 | 2020-07-23 |
| Find all providers in FREDERICK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.