MEDICARE: JENSINA DAVIS LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	MSW011318	GA
2	1041C0700X	Clinical Social Worker	118666	TX

General Provider Information

NPI Number	:	1871368621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENSINA DAVIS LCSW

Provider Business Mailing Address
First Line	:	5453 BURNET RD APT 238
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78756-1634
Country	:	US
Telephone Number	:	952-564-0016
Fax Number	:

Provider Business Practice Location Address
First Line	:	5453 BURNET RD APT 238
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78756-1634
Country	:	US
Telephone Number	:	952-564-0016
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2023
Last Update Date	:	06/17/2026

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