Jerry Davis, PH.D.
NPI 1205935392 · Clinical Social Worker · Fort Wayne, IN
Jerry Davis, PH.D. is a Clinical Social Worker provider in Fort Wayne, IN (NPI 1205935392).
Provider details
- NPI number
- 1205935392
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 39000593A (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-09-22
- Last updated
- 2025-09-11
Frequently asked questions
- What is Jerry Davis's NPI number?
- Jerry Davis's National Provider Identifier (NPI) is 1205935392, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerry Davis's specialty?
- Jerry Davis is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jerry Davis located?
- Jerry Davis's practice location on file with NPPES is 2821 Hillegas Rd, Fort Wayne, IN 46808-3859.
- What is Jerry Davis's phone number?
- The practice phone number listed in the NPPES registry for Jerry Davis is (260) 471-1950.
- Is Jerry Davis's NPI active?
- Yes — Jerry Davis's NPI (1205935392) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.