Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ebony R Davis, LCSW

Individual provider Clinical Social Worker · NPI 1891293692

Ebony R Davis, LCSW is a Clinical Social Worker in Jacksonville, Florida. Qualified in 2014, 12 years ago. Practices with Ebtide Counseling LLC, a 2-clinician group and offers telehealth. Licensed in Florida.

Years since qualifying
12
Licensed in
FL
In the registry since
2018
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

5422 Cresta Way
Jacksonville, FL 32211-5515
Phone: (904) 338-1259
Fax: (904) 212-2509
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 15083SW (FL)
Clinical Social Worker Taxonomy 1041C0700X · Licence SW15083 (FL)

Record details

NPI number1891293692
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 26, 2018
Last updated in NPPESJanuary 26, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Ebtide Counseling Llc — 2 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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