Active NPI
Joel Patrick Davison, L.C.S.W.
- Clinical Social Worker
- Warren, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW018306
- Practice address
- 438 Pennsylvania Ave W
Warren, PA 16365-2238 - Phone
- (814) 230-3042
- NPI assigned
- Oct 15, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW018306 | PA | Primary |
Addresses
Primary practice location
438 Pennsylvania Ave W
Warren, PA 16365-2238
Mailing address
438 Pennsylvania Ave W
Warren, PA 16365-2238
Phone (814) 230-3042
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150203001667 | PA | Practitioner - Clinical Social Worker | 2567787146 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Riverside Counseling LLC
Practice addresses (Care Compare)
200 W 3Rd Ave
Warren, PA 16365-2332
Phone (814) 230-3042
311 Pennsylvania Ave E
Suite R
Warren, PA 16365-2767
Phone (814) 230-3042
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Counseling, LLC | Current | Accepting new patients |
Locations
438 Pennsylvania Ave W
Warren, PA 16365
Phone (814) 230-3042
200 W 3rd Ave
Warren, PA 16365
Phone (814) 230-3042
436 Pennsylvania Ave W
Warren, PA 16365
Phone (412) 848-8955
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646092800000",
"number": "1013311364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "438 PENNSYLVANIA AVE W",
"city": "WARREN",
"state": "PA",
"postal_code": "163652238",
"telephone_number": "814-230-3042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "438 PENNSYLVANIA AVE W",
"city": "WARREN",
"state": "PA",
"postal_code": "163652238",
"telephone_number": "814-230-3042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVISON",
"first_name": "JOEL",
"middle_name": "PATRICK",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-10-15",
"last_updated": "2022-03-01",
"certification_date": "2022-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW018306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.