EDEN ELIZABETH DAVISSON (NPI# 1841660990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841660990 |
| Entity Type | Individual |
| Full Name | EDEN ELIZABETH DAVISSON |
| Credential | LCSW |
| Practice Address |
4534 W Gate Blvd Suite 112 Austin TX 78745-1485 |
| Mailing Address |
Po Box 10124 Austin TX 78766-1124 |
| Practice Telephone | 5129215566 |
| Practice Fax Number | 5126819214 |
| Mailing Telephone | 5129215566 |
| Mailing Fax Number | 5126819214 |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2016-09-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
54581 | TX | Behavioral Health & Social Service Providers |
| Street Address |
4534 W GATE BLVD SUITE 112 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78745-1485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811952203 | Kathryn A Smathers | Physical Therapist | 4534 W Gate Blvd, Town and Country Pt Ste 104, Austin, TX 78745-1485 | 2006-04-19 |
| 1326590001 | Abri Intergrated Health, Pllc | Counselor | 4534 W Gate Blvd, Suite 112, Austin, TX 78745-1485 | 2016-10-28 |
| 1356798334 | Erin Elizabeth Nightingale | Nurse Practitioner | 4534 W Gate Blvd, Austin, TX 78745-1485 | 2016-05-19 |
| 1104203660 | Kelli Foulkrod | Counselor | 4534 W Gate Blvd, Suite 112, Austin, TX 78745-1485 | 2015-05-04 |
| 1629468798 | Lise Nicole Smith | Hearing Instrument Specialist | 4534 W Gate Blvd, Suite 106, Austin, TX 78745-1485 | 2015-01-28 |
| 1063801702 | Lauren Reed | Nurse Practitioner | 4534 W Gate Blvd, Ste 108, Austin, TX 78745-1485 | 2015-01-19 |
| 1861804965 | Greg Marchand Family Medicine Pa | Family Medicine | 4534 W Gate Blvd, Suite113, Austin, TX 78745-1485 | 2014-05-22 |
| 1043563869 | Tekton Research, Inc. | Specialist | 4534 W Gate Blvd, Suite 110, Austin, TX 78745-1485 | 2012-10-17 |
| 1538471974 | Melissa Ann Cereceres | Marriage & Family Therapist | 4534 W Gate Blvd, Austin, TX 78745-1485 | 2010-07-13 |
| 1598995938 | Matthew P Morretta | Physical Therapist | 4534 W Gate Blvd, Suite 104, Austin, TX 78745-1485 | 2009-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617511 | Samantha Lynne Weston | Speech-Language Pathologist | 8515 Brodie Lane, Apt 2011, Austin, TX 78745 | 2020-10-26 |
| 1275172686 | Nithphaphone Tracy Bounsing | Registered Nurse | 4316 James Casey St, Building F, Suite 201, Austin, TX 78745 | 2020-01-02 |
| 1225685712 | Integrative Medical Group of Texas | General Practice | 6905 West Gate Blvd. Ste A, Austin, TX 78745 | 2019-08-20 |
| 1962971499 | Kimberly Angela Mancini | Social Worker | 5015 South Ih 35 Frontage Road, Austin, TX 78745 | 2018-11-14 |
| 1093223885 | Emma Rose Marek | Speech-Language Pathologist | 2700 Norfolk Drive, Austin, TX 78745 | 2018-01-16 |
| 1528586690 | Ashley Ellison | Social Worker | 4201 South Congress, Austin, TX 78745 | 2017-09-08 |
| 1134666761 | Carey Sebera | Counselor | 2812 Goldbridge Dr, Austin, TX 78745 | 2017-01-20 |
| 1932644507 | Maya Conlon | Social Worker | 2501 W. William Cannon Dr., Bldg 6 Ste. A, Austin, TX 78745 | 2017-01-05 |
| 1285189134 | 512 Physical Therapy and Golf Performance Center | Physical Therapist | 6800 Westgate Blvd, Suite 117, Austin, TX 78745 | 2016-08-22 |
| 1326401803 | Chris Winkley | Physical Therapist | 5510 S Ih 35 Frontage Rd #240, Austin, TX 78745 | 2016-04-01 |
| Find all providers in zip 78745 | ||||
| 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 |
|---|---|---|---|---|
| 1194326926 | Janai June Bryan | Social Worker | 2312 Western Trails Blvd Ste B204, Austin, TX 78745-1677 | 2020-11-06 |
| 1902405343 | Elizabeth Arthur Thomas | Social Worker | 13128 Amarillo Ave, Austin, TX 78729-7557 | 2020-10-17 |
| 1821695610 | My-emerge,pllc | Social Worker | 13740 Research Blvd # 0-4, Austin, TX 78750-1884 | 2020-10-05 |
| 1215544630 | Emily Hackett | Social Worker | 4131 Spicewood Springs Rd Ste 3, Austin, TX 78759-8661 | 2020-09-29 |
| 1386259364 | Stefanie Nikole Burke | Social Worker | 3607 S Lamar Blvd Apt 1420, Austin, TX 78704-0391 | 2020-09-15 |
| 1326653692 | Susan Malena Gallego | Social Worker | 106 Timber Ridge Cv, Austin, TX 78733-3136 | 2020-09-13 |
| 1588275663 | Armando Sanchez | Social Worker | 3811 Run of The Oaks St Apt C, Austin, TX 78704-7843 | 2020-08-12 |
| 1861002594 | Jeneke Lesak | Social Worker | 111 Ramble Ln Ste 120-d, Austin, TX 78745-2278 | 2020-08-06 |
| 1306456264 | Abby Lubran | Social Worker | 6906 Langston Dr, Austin, TX 78723-2220 | 2020-08-05 |
| 1639788516 | James Nichols | Social Worker | 12319 Willow Wild Dr, Austin, TX 78758-2725 | 2020-07-27 |
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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.