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

Jaclyn A Davis, LCSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1750682621

Jaclyn A Davis, LCSW is a Clinical Social Worker in Fort Lupton, Colorado. Graduated from Perelman School of Med at the University of Pennsylvania in 2007, 19 years ago. Practices with Staywell Health Care Inc, a 44-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
19
Trained at
Perelman School of Med at the University of Pennsylvania
Licensed in
CO
In the registry since
2010
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.

See every abbreviation used in this directory →

Practice location Address checks out

145 1st St
Fort Lupton, CO 80621-2002
Phone: (303) 857-6365
Fax: (303) 857-2123
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 1654 (CO)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 7241 (CO)

Record details

NPI number1750682621
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 9, 2010
Last updated in NPPESNovember 9, 2010
Mailing address145 1st St, Fort Lupton, CO 80621-2002

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolPERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduated 2007 (19 years in practice)
Group practice Staywell Health Care Inc. — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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