Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JERRY EUGENE DAVIS, PH.D.
ActiveDR. JERRY EUGENE DAVIS, PH.D. is a Clinical Social Worker healthcare provider located in FORT WAYNE, Indiana. NPI 1205935392 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · FORT WAYNE, IN
Registration Details
- NPI Number
- 1205935392
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 22, 2006 (19.870963647272 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
39000593A (IN)34002606A (IN)35000571A (IN)
Practice Information
- Address
-
2821 HILLEGAS RDFORT WAYNE, IN, 468083859Browse IN providers · Browse ZIP 46808
- Phone
- 2604711950
- Fax
- 2604711950
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
- Additional Specialty
- Marriage & Family Therapist
Other Clinical Social Worker Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| MS. LORRAINE MEJER | MSN | 1588667026 |
| MR. DANIEL S BISHTON | MSW | 1497758932 |
| SIMON JAMES DUNN | LCSW | 1962408831 |
| MS. CHRISTINE ANN MOTHERWELL | MSW, LMHC, LCSW | 1730188798 |
| SCOTT JOSEPH MCALISTER | MSW, LCSW | 1770583718 |
| MS. JEANNE HARBER PORTER | LCSW, ACSW | 1811982184 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.