Individual provider Active NPI

Min Davison, LCSW

  • Clinical Social Worker
  • San Angelo, TX
National Provider Identifier
1063023943
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.022287 Issued in IL
Practice address
271 Fort Richardson Ave
San Angelo, TX 76908-4901
Phone
(325) 654-1600
NPI assigned
Aug 13, 2020
Last updated
May 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.022287 IL Primary

Addresses

Primary practice location

271 Fort Richardson Ave
San Angelo, TX 76908-4901

Mailing address

271 Fort Richardson Ave
San Angelo, TX 76908-4901
Phone (325) 654-1600

Other practice location 1

Brian D. Allgood Army Community Hospital (BDAACH)
Unit 15245
Apo, AP 96273
Phone (315) 737-5799

Other names 1

  • Min Shin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1063023943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 FORT RICHARDSON AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769084901",
            "telephone_number": "325-654-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 FORT RICHARDSON AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769084901",
            "telephone_number": "325-654-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Brian D. Allgood Army Community Hospital (BDAACH)",
            "address_2": "Unit 15245",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AP",
            "postal_code": "96273",
            "country_code": "US",
            "telephone_number": "315-737-5799",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "DAVISON",
        "first_name": "MIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-13",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.022287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIN",
            "last_name": "SHIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Angelo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.