Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Annetta Jean Davis, LISW-S

Individual provider Clinical Social Worker · NPI 1881826337

MS. Annetta Jean Davis, LISW-S is a Clinical Social Worker in Centerville, Ohio. Qualified in 2009, 17 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
17
Licensed in
OH
In the registry since
2009
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Practice location Address checks out

7950 Clyo Rd
Centerville, OH 45459
Phone: (513) 310-7293
Fax: (937) 938-5249
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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 1101155 (OH)

Record details

NPI number1881826337
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW-S
Sole proprietorYes
NPI enumeratedAugust 18, 2009
Last updated in NPPESFebruary 9, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Centerville