MEDICARE: JENNIFER 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	06987	NM
2	1041C0700X	Clinical Social Worker	C-08551	NM

General Provider Information

NPI Number	:	1962716795
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER DAVIS LCSW

Provider Business Mailing Address
First Line	:	1817 CARLISLE BLVD NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87110-4905
Country	:	US
Telephone Number	:	505-842-9911
Fax Number	:

Provider Business Practice Location Address
First Line	:	2600 YALE BLVD SE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87106-4383
Country	:	US
Telephone Number	:	505-994-0000
Fax Number	:

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

Provider Enumeration Date	:	08/04/2010
Last Update Date	:	03/17/2018

Similar Medicare Providers

1215525902 — AUGUST VOJDANI PA-C
Practice Location Address:

4588 PARADISE BLVD NW , MEDICARE ADVANTAGE CLINIC
ALBUQUERQUE, NM
87114-4105

Practice Phone: 505-998-1840
Practice Fax: 505-998-1841

1023257037 — GLORIA DIXON NURSE PRACTITIONER
Practice Location Address:

2600 YALE BLVD SE
ALBUQUERQUE, NM
87106-4383

Practice Phone: 505-272-2800
Practice Fax:

1508437690 — GABRIELLE V SWISHER PHD
Practice Location Address:

2600 YALE BLVD SE
ALBUQUERQUE, NM
87106-4383

Practice Phone: 505-994-7999
Practice Fax:

1528193190 — UNM HOSPITAL
Practice Location Address:

2600 YALE BLVD SE STE 2220
ALBUQUERQUE, NM
87106-4383

Practice Phone: 505-272-6700
Practice Fax: 505-272-6735

1063654432 — MRS. FRANCES EDWARDS FRAZIER POPE LPCC/LPCS/LCMHC/LAC
Practice Location Address:

2600 YALE BLVD SE
ALBUQUERQUE, NM
87106-4383

Practice Phone: 505-994-7983
Practice Fax:

1699052985 — DR. RICHARD J LEVINE PHARM.D.
Practice Location Address:

2600 YALE BLVD SE , BLVD SE
ALBUQUERQUE, NM
87106-4383

Practice Phone: 505-994-7962
Practice Fax:

Directions to “ JENNIFER DAVIS LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.