MRS. STEPHANIE WILDER DAVIDSON (NPI# 1417982190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417982190 |
| Entity Type | Individual |
| Full Name | MRS. STEPHANIE WILDER DAVIDSON |
| Other Name | MRS. STEPHANIE WILDER DAVIDSON |
| Credential | LCSW |
| Practice Address |
133 Willow Lake Dr Leesburg GA 31763-5386 |
| Practice Telephone | 2298868497 |
| Mailing Telephone | 2298868497 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2008-12-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
003623 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 381809514A | 05 | |
| GA | NPI NUMBER | 1417982190 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669971420 | Stephanie Davidson | Chiropractor | 414 Old Hard Rd Ste 106, Fleming Island, FL 32003-3407 | 2018-02-07 |
| 1255771010 | Stephanie Lynn Davidson | Marriage & Family Therapist | 600 W Santa Ana Blvd # 107-109, Santa Ana, CA 92701-4558 | 2013-06-26 |
| 1558692848 | Stephanie Ray Davidson | Nurse Practitioner | Vumc Allergy Pulmonary Critical, 1161 21st Ave S, Room T-1218 Mcn, Nashville, TN 37232-0001 | 2010-01-26 |
| 1679119796 | Stephanie Davidson | Counselor | 3040 Holcomb Bridge Rd, Norcross, GA 30071-1377 | 2019-11-24 |
| 1912418336 | Stephanie Davidson | Speech-Language Pathologist | 10618 Breckenridge Dr, Little Rock, AR 72211-1802 | 2017-10-12 |
| 1447663661 | Stephanie M Davidson | Psychiatry & Neurology | 55 Fruit St., Massachusetts General Hospital, Boston, MA 02114 | 2014-06-05 |
| 1356535256 | Stephanie L. Davidson | Psychologist | 5743 Corsa Ave Ste 221, Westlake Village, CA 91362-6451 | 2007-09-04 |
| 1235322769 | Stephanie Lynn Davidson | Physical Therapist | 2603 W Pleasant Grove Rd, Ste 104, Rogers, AR 72758-5804 | 2007-08-17 |
| 1134199409 | Stephanie Lynn Davidson | Anesthesiology | 9127 W Russell Rd Ste 110, Las Vegas, NV 89148-1253 | 2006-01-26 |
| Street Address |
133 WILLOW LAKE DR |
| City | LEESBURG |
| State | GA |
| Zip Code | 31763-5386 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790150423 | Jamie Perrella Flynn-pressley | Counselor | 112 Cris Ann St., Leesburg, GA 31763 | 2015-12-07 |
| 1023429511 | Brookstone Medical LLC | Durable Medical Equipment & Medical Supplies | 123 Hugh Rd, Leesburg, GA 31763 | 2014-05-19 |
| 1124370796 | Freds Stores of Tennessee Inc | Pharmacy | 118 Robert B Lee Drive, Leesburg, GA 31763 | 2012-10-08 |
| 1255649273 | Lee County Optical LLC | Optometrist | 1569 Highway 19 South, Leesburg, GA 31763 | 2010-09-24 |
| 1851572473 | Shaun Nicholas Price | Chiropractor | 152 Robert B Lee Dr, # 31, Leesburg, GA 31763 | 2007-11-26 |
| 1710042007 | Williams & Bush Partnership | Dentist | 919 Us Hwy 19 South, Leesburg, GA 31763 | 2006-12-27 |
| 1063570398 | Lee County Board of Education | Local Education Agency (LEA) | 126 Starksville Avenue, North, Leesburg, GA 31763 | 2006-12-06 |
| 1225109929 | Lee County School System | Local Education Agency (LEA) | 126 Starksville Avenue North, Leesburg, GA 31763 | 2006-11-13 |
| 1073682936 | Adams' Loving Pro Home Health Care Inc. | Home Health | 1277 Hwy 82 West, 121, Leesburg, GA 31763 | 2006-11-07 |
| 1225132699 | Deirdre Mae Clairewen Lawson | Internal Medicine | 235 Walnut Street, Leesburg, GA 31763 | 2006-09-07 |
| Find all providers in zip 31763 | ||||
| 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 |
|---|---|---|---|---|
| 1780208454 | Sherrie Bast | Social Worker | 117 S Lake Dr, Leesburg, FL 34788-2680 | 2020-05-29 |
| 1902442361 | Falecia Nicole Handley | Social Worker | 12017 Eagle Point Ct, Leesburg, FL 34788-2325 | 2019-11-20 |
| 1538714183 | Carroll Martin | Social Worker | 203 Loudoun St Sw Ste E, Leesburg, VA 20175-2712 | 2019-08-09 |
| 1043776917 | Terri C Braxton | Social Worker | 14519 Woodstar Ct, Leesburg, VA 20176-6055 | 2019-02-15 |
| 1376028191 | Roberta M Quirk | Social Worker | 30 Catoctin Cir Se Ste 207, Leesburg, VA 20175-3044 | 2018-09-27 |
| 1831676816 | Erika Lindsay Flax | Social Worker | 1662 Lismore Ter Ne, Leesburg, VA 20176-6581 | 2018-07-23 |
| 1215467626 | Elizabeth (betsy) G Goodwin | Social Worker | 210 Wirt St Sw Ste 301, Leesburg, VA 20175-2929 | 2017-06-18 |
| 1104363282 | Kelly W. Headley | Social Worker | 102 Heritage Way Ne Ste 103, Leesburg, VA 20176-4544 | 2017-01-26 |
| 1336685635 | Dylan Beckner | Social Worker | 2 Cardinal Park Dr Se Ste 104a, Leesburg, VA 20175-4448 | 2017-01-10 |
| 1003359803 | Karen Scarpino Kunzwiler | Social Worker | 44080 Riverpoint Dr, Leesburg, VA 20176-8203 | 2016-11-28 |
| Find all providers in LEESBURG | ||||
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| 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.