Lindsey Timm Davidson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C7610 Issued in MS

Practice address

200 N Congress St
Suite 100
Jackson, MS 39201-1902

Phone

(601) 355-8634

NPI assigned

Nov 24, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Catholic Charities, Inc.

  • Community/Behavioral Health Agency
  • Jackson, MS
  • NPI 1669513503
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425427200000",
    "number": "1023346319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 SHERWOOD DR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390477800",
            "telephone_number": "601-597-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N CONGRESS ST",
            "address_2": "SUITE 100",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392011902",
            "telephone_number": "601-355-8634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "LINDSEY",
        "middle_name": "TIMM",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-24",
        "last_updated": "2015-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C7610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00016925",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David R Carroll,MD, PLLC (Surgical Specialist of Jackson)
• David S. Miller, MD, PLLC
• Jamie V Davidson, NP
• John Clayton Davidson I, MD
• Karen Whitfield Davidson, FNP-C
• Samuel Walker Davidson
• Tracey Bernard Davidson
• Rene Davila, MD
• Davis Podiatry, LLC
• Lisa Davis-Doty, AU.D.

• Clinical Social Worker in Jackson, MS
• Providers in Jackson, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.