NPI Code Detail JSON Logo

1912215617 NPI number — DRURY JEAN DAVIS L.C.S.W.

NPI Number: 1912215617
Health Care Provider/Practitioner: DRURY JEAN DAVIS L.C.S.W.

Information about “1912215617” NPI (DRURY JEAN DAVIS L.C.S.W.) exists in 1912215617 in HTML format HTML  |  1912215617 in plain Text format TXT  |  1912215617 in PDF (Portable Document Format) PDF  |  1912215617 in an XML format XML  formats.

NPI Number : 1912215617 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1912215617",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DAVIS",
    "FirstName": "DRURY",
    "MiddleName": "JEAN",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "L.C.S.W.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DAVIS-COLLCUTT",
    "OtherFirstName": "JEAN",
    "OtherMiddleName": null,
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "L.C.S.W.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2440 S JASMINE ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DENVER",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80222-6313",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "303-733-7009",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5500 S SYCAMORE ST",
    "SecondLinePracticeLocationAddress": "ARAPAHOE DOUGLAS MENTAL HEALTH",
    "PracticeLocationAddressCityName": "LITTLETON",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80120-8201",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "303-797-9346",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/16/2010",
    "LastUpdateDate": "09/16/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": "21",
        "LicenseNumberStateCode": "CO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.