Gwendolen Haydon Davis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW7677 Issued in FL

Practice address

467 Red Bird Dr
Springtown, TX 76082-2942

Phone

(904) 716-5619

Fax

(904) 640-7776

NPI assigned

Jan 12, 2007

Last updated

Dec 1, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 4

Other names 1

• Mrs. Wendy Haydon Davis Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Haydon-Davis Counseling, Inc.

  • Clinical Social Worker
  • St Augustine, FL
  • NPI 1679012439
  Authorized official Same address or phone

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1043360639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 RED BIRD DR",
            "city": "SPRINGTOWN",
            "state": "TX",
            "postal_code": "760822942",
            "telephone_number": "904-716-5619",
            "fax_number": "904-640-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 RED BIRD DR",
            "city": "SPRINGTOWN",
            "state": "TX",
            "postal_code": "760822942",
            "telephone_number": "904-716-5619",
            "fax_number": "904-640-7776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 Kingsley Lake Dr Ste 702",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320923045",
            "country_code": "US",
            "telephone_number": "904-716-5619",
            "fax_number": "904-640-7776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "GWENDOLEN",
        "middle_name": "HAYDON",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW7677",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C003093",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "115462",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA-EVERNORTH",
            "identifier": "2502590",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "277216",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INIDIVDUAL TAX ID",
            "identifier": "061642215",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OUT OF NETWORK PROV",
            "identifier": "Z074E",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "DAVIS",
            "middle_name": "HAYDON",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Brookshire Grocery Company (Brookshires Pharmacy)
• Megan Byrd
• Sheri L Callaway, LPC ASSOCIATE
• Felix Helio Cano, DDS
• Jacqueline Carlino, LPC-A
• Lari D Davis, SLP
• DCS Medical PA (Integrity Urgent Care)
• Sarah Krystyn Easter
• Emily Swearingen LCSW PLLC
• Kristen Michelle Estrada, RN

• Clinical Social Worker in Springtown, TX
• Providers in Springtown, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.