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

Jason Wade Davis, LCSW

Individual provider Mental Health Counselor · NPI 1093677338

Jason Wade Davis, LCSW is a Mental Health Counselor in Bella Vista, Arkansas. Licensed in Arkansas. Registered with an NPI since 2025.

Licensed in
AR
In the registry since
2025
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

32 Devonshire Dr
Bella Vista, AR 72715-7512
Phone: (918) 961-0130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 12551-C (AR)

Record details

NPI number1093677338
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 25, 2025
Last updated in NPPESNovember 25, 2025
Certification dateNovember 25, 2025
Mailing address32 Devonshire Dr, Bella Vista, AR 72715-7512

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