JAZMIN DENISE DAVIS (LMSW, LCSW) – Social Worker, NPI 1053712265

JAZMIN DENISE DAVIS (LMSW, LCSW) is a healthcare provider. based in Indianapolis, Indiana. specializing in Social Worker. They hold the professional credentials LMSW, LCSW. They hold a License No. 34007909A (IN). The NPI Number for JAZMIN DENISE DAVIS (LMSW, LCSW) is 1053712265

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
JAZMIN DENISE DAVIS (LMSW, LCSW)
NPI
1053712265
Phone
(248) 996-4706
Address
5517 ASHVIEW DR APT C
Enumeration Date
7 September 2014
Last Update Date
14 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8006931916
Graduation Year
2012 (14 years ago)
PAC ID
1254606486
Group Practice PAC ID
4880768415
Professional Enrollment ID
I20200419000054
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:11State licenses:2Digital endpointsOther names

Provider Addresses for JAZMIN DENISE DAVIS (LMSW, LCSW)

  • 5517 ASHVIEW DR APT C

    INDIANAPOLIS, IN 462377323

    Phone: (248) 996-4706

    Type: Mailing

  • 20500 EUREKA RD STE 200

    TAYLOR, MI 481806394

    Phone: (517) 882-3732

    Fax: (517) 882-3633

    Type: Location

  • 8404 SIEAR TER

    INDIANAPOLIS, IN 462277215

    Phone: (317) 474-7350

    Type: Location

  • 24383 RENSSELAER ST

    OAK PARK, MI 482371782

    Phone: (248) 938-5884

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-04-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200419000054IClinical Social WorkerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46237)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880768415View full group profile
NameSpecialtyState
-MI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical PsychologistMI
Clinical Social WorkerWI
Clinical Social WorkerMI
-MI
Clinical Social WorkerMI
Clinical Psychologist, Mental Health CounselorIL

Reviews

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Frequently asked questions

Can I use this page to confirm JAZMIN DENISE DAVIS (LMSW, LCSW)'s NPI?
Yes. JAZMIN DENISE DAVIS (LMSW, LCSW) is listed with NPI 1053712265 in the public NPI dataset.
Is JAZMIN DENISE DAVIS (LMSW, LCSW) listed as active for patients and plans?
The listing shows JAZMIN DENISE DAVIS (LMSW, LCSW) as active in the NPI system.
What is JAZMIN DENISE DAVIS (LMSW, LCSW)'s primary classification?
Social Worker is the headline specialty for JAZMIN DENISE DAVIS (LMSW, LCSW) here. Clinical services aligned with this taxonomy classification.
What address line appears for JAZMIN DENISE DAVIS (LMSW, LCSW)?
JAZMIN DENISE DAVIS (LMSW, LCSW)'s geographic hint is Indianapolis, Indiana in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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