Individual provider Active NPI

Bethany Davison, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1144927633
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
094597 Issued in NY
Practice address
356 W 18TH St
New York, NY 10011-4401
Phone
(617) 605-3956
NPI assigned
Feb 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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 094597 NY Primary

Addresses

Primary practice location

356 W 18TH St
New York, NY 10011-4401

Mailing address

356 W 18TH St
New York, NY 10011-4401
Phone (617) 605-3956

Other practice location 1

283 W Valley Brook Rd
Califon, NJ 07830-3531
Phone (617) 605-3956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231005001102 NY Practitioner - Clinical Social Worker 1951756329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Project, Inc.Group PAC ID 1254223217, 47 clinicians

Practice addresses (Care Compare)

271 Myrtle Ave
Brooklyn, NY 11201-3281
Phone (212) 271-7200

40 Flatbush Ave Ext
FL 3
Brooklyn, NY 11201-2903
Phone (212) 271-7200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
094597NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Project Inc. Current Accepting new patients
Rivia Medical PLLC CurrentSince Aug 20, 2023 Accepting new patients
Community Health Project Inc. CurrentSince Dec 18, 2025 Accepting new patients
Community Health Project Inc. CurrentSince Dec 18, 2025 Accepting new patients
Community Health Project Inc. Past Accepting new patients

Locations

2 University Plz
Ste 100
Hackensack, NJ 07601
Phone (201) 744-7749

356 W 18th St
Fl 6
New York, NY 10011
Phone (212) 271-7167

356 W 18th St
New York, NY 10011

274 Madison Ave
Rm 1501
New York, NY 10016
Phone (212) 202-1773

Organizations & group practices 5

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": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1144927633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 W 18TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100114401",
            "telephone_number": "617-605-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 W 18TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100114401",
            "telephone_number": "617-605-3956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "283 W Valley Brook Rd",
            "address_purpose": "LOCATION",
            "city": "Califon",
            "state": "NJ",
            "postal_code": "078303531",
            "country_code": "US",
            "telephone_number": "617-605-3956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVISON",
        "first_name": "BETHANY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-14",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "094597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.