Jacqueline A Davis, LICSW is a
Social Worker - Clinical based in Bridgewater, Massachusetts. Jacqueline A Davis is licensed to practice in Massachusetts (license number 110796) and her current practice location is
1029 Pleasant St Ste 101, Bridgewater, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(844) 946-2152.
NPI number for Jacqueline A Davis is 1457623621 and her current mailing address is 131 Princess Ln, Raynham, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457623621.
Healthcare Provider's Profile
| Full Name | Jacqueline A Davis |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1029 Pleasant St Ste 101, Bridgewater, Massachusetts |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1457623621
- Provider Enumeration Date: 02/03/2012
- Last Update Date: 02/02/2022
Medical Identifiers
Medical identifiers for Jacqueline A Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1457623621 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 110796 (Massachusetts) | Secondary |
| 1041C0700X | Social Worker - Clinical | 110796 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline A Davis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jacqueline A Davis, LICSW 131 Princess Ln, Raynham, MA 02767-1279 Ph: (774) 381-1055 | Jacqueline A Davis, LICSW 1029 Pleasant St Ste 101, Bridgewater, MA 02324-2473 Ph: (844) 946-2152 |
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