MARY CATHERINE YATES DAVISON (NPI# 1356996540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356996540 |
| Entity Type | Individual |
| Full Name | MARY CATHERINE YATES DAVISON |
| Credential | LMSW |
| Practice Address |
4701 Fairway Ave Ste B North Little Rock AR 72116-8069 |
| Practice Telephone | 5017718261 |
| Mailing Telephone | 5017718261 |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2019-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
9547-M | AR | Behavioral Health & Social Service Providers |
| Street Address |
4701 FAIRWAY AVE STE B |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip Code | 72116-8069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194254631 | Emily Marie Bass | Social Worker | 4701 Fairway Ave Ste B, North Little Rock, AR 72116-8069 | 2017-06-08 |
| 1295378289 | Jordan Curtis Baker | Social Worker | 4701 Fairway Ave Ste B, North Little Rock, AR 72116-8069 | 2019-10-22 |
| 1710546379 | Lakera Davis | Counselor | 4701 Fairway Ave Ste B, North Little Rock, AR 72116-8069 | 2019-06-07 |
| 1629533484 | Patrick Lindsey | Behavioral Analyst | 4701 Fairway Ave Ste B, North Little Rock, AR 72116-8069 | 2019-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710509997 | Dickerson Family Resource Center, LLC | Counselor | 5401 John F. Kennedy Blvd, Suite I Rm 1, North Little Rock, AR 72116 | 2020-05-11 |
| 1831609262 | Bill J Carpenter Sr. | Counselor | 4700 W Commercial Dr Ste B3, North Little Rock, AR 72116 | 2017-10-12 |
| 1992257646 | Meagan Booe | Behavioral Analyst | 3812 Lakewood Valley Drive, North Little Rock, AR 72116 | 2016-10-28 |
| 1295154300 | Min-ji Lee | Family Medicine | 2504 Mccain Blvd Ste 118, North Little Rock, AR 72116 | 2014-04-16 |
| 1255603486 | Crystal N Lackey | Physical Therapist | 3801 Jfk Blvd Ste C, North Little Rock, AR 72116 | 2012-02-03 |
| 1003055724 | North Little Rock, Pllc | Chiropractor | 4614 Jfk Blvd, North Little Rock, AR 72116 | 2009-02-19 |
| 1891933826 | Jennifer Ann Freilino | Counselor | 3805 Mccain Park Dr Ste 112, North Little Rock, AR 72116 | 2009-01-29 |
| 1679729669 | Amy Marie Jones | Speech-Language Pathologist | 5901 John F Kennedy Blvd Apt 5127, North Little Rock, AR 72116 | 2008-08-11 |
| 1992970917 | Ronald F Boyles Od Pa | Eyewear Supplier (Equipment, not the service) | 2520 Crestwood Road, North Little Rock, AR 72116 | 2008-04-30 |
| 1992976377 | Kencur Inc Statco Hearing Labs | Hearing Instrument Specialist | 4000 Mccain Blvd, Suite D, North Little Rock, AR 72116 | 2008-03-13 |
| Find all providers in zip 72116 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194254631 | Emily Marie Bass | Social Worker | 4701 Fairway Ave Ste B, North Little Rock, AR 72116-8069 | 2017-06-08 |
| 1992127419 | Mccain Psychotherapy Center | Social Worker | 3805 Mccain Park Dr Ste 116, North Little Rock, AR 72116-7813 | 2014-01-17 |
| 1811285620 | Jentry Edward Tillman | Social Worker | Camp Joseph T Robinson, North Little Rock, AR 72199-0001 | 2011-07-13 |
| 1043521370 | Amy Smith Freer | Social Worker | 425 W Broadway St Ste D, North Little Rock, AR 72114-5576 | 2010-07-01 |
| 1659603397 | Mackenzi T. Davis | Social Worker | 4702 W Commercial Dr Ste B3, North Little Rock, AR 72116-7073 | 2010-02-05 |
| 1720312283 | Michael James Casillas | Social Worker | 4260 Stockton Dr, Suite A, North Little Rock, AR 72117-2915 | 2009-09-30 |
| 1487886255 | Chelsie M Hall | Social Worker | 12412 Faulkner Crossing Dr, North Little Rock, AR 72117-9793 | 2009-08-12 |
| 1578713277 | Robert Earl Pruitt Jr. | Social Worker | 2200 Fort Root Dr., North Little Rock, AR 72206 | 2008-09-30 |
| 1649427170 | Byron W Scheider | Social Worker | 7609 Tomahawk Dr, North Little Rock, AR 72116-4338 | 2008-08-27 |
| 1154442341 | Angela A Smith | Social Worker | 1900 North Pine Street, North Little Rock, AR 72114 | 2007-04-03 |
| Find all providers in NORTH LITTLE ROCK | ||||
| City | NORTH LITTLE ROCK |
| Zip Code | 72116 |
Please comment or provide details below to improve the information on MARY CATHERINE YATES DAVISON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.