JANE ELLEN DAVIDSON (LISW) – Clinical Social Worker, NPI 1124044904

JANE ELLEN DAVIDSON (LISW) is a healthcare provider. based in Dublin, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LISW. They hold a License No. I0007422 (OH). The NPI Number for JANE ELLEN DAVIDSON (LISW) is 1124044904

Main info

Female
41 Years Of Experience
Accepts Medicare Assignment
Name
JANE ELLEN DAVIDSON (LISW)
NPI
1124044904
Phone
(614) 792-1108
Address
6465 REFLECTIONS DR
Enumeration Date
14 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6147921108
Graduation Year
1985 (41 years ago)
PAC ID
3072617034
Group Practice PAC ID
1557600251
Professional Enrollment ID
I20070330000325
Address ID
OH430172352DU6457XDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

Provider Addresses for JANE ELLEN DAVIDSON (LISW)

  • 6465 REFLECTIONS DR

    SUITE 110

    DUBLIN, OH 430172355

    Phone: (614) 792-1108

    Fax: (614) 792-0018

    Type: Location

  • 461, Ridge View Place, Powell, Liberty Township, Delaware County, Ohio, 43065, United States

    POWELL, OH 430657531

    Phone: (614) 848-6384

    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: 2007-03-30

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
I20070330000325IClinical Social WorkerOHTBD

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 43017)

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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: 1557600251View full group profile
NameSpecialtyState
Clinical PsychologistOH
Clinical PsychologistOH
Clinical PsychologistOH
-OH
Clinical PsychologistOH
Clinical PsychologistOH
-OH

Reviews

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Frequently asked questions

What is the standard ID for JANE ELLEN DAVIDSON (LISW) in the U.S.?
In the U.S., JANE ELLEN DAVIDSON (LISW) is identified by NPI 1124044904.
Does the public listing show JANE ELLEN DAVIDSON (LISW) as active?
JANE ELLEN DAVIDSON (LISW)'s NPI record reflects an active status in NPPES.
What does the directory say JANE ELLEN DAVIDSON (LISW) does?
Insurance directories may phrase it differently, but here JANE ELLEN DAVIDSON (LISW) maps to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is JANE ELLEN DAVIDSON (LISW) tied to Dublin, Ohio?
If you are local to Dublin, Ohio, JANE ELLEN DAVIDSON (LISW) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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