Active NPI
Steven Thomas Davidson, LCSW
- Clinical Social Worker
- Madison, TN
National Provider Identifier
1164436762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 727
- Practice address
- 333 Gallatin Pike S
Suite 13
Madison, TN 37115-4001 - Phone
- (615) 516-9806
- Fax
- (615) 227-3152
- NPI assigned
- Jul 28, 2006
- 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 | 727 | TN | Primary |
Addresses
Primary practice location
333 Gallatin Pike S
Suite 13
Madison, TN 37115-4001
Mailing address
4108 Moss Rose Dr
Nashville, TN 37216-2930
Phone (615) 516-9806
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4117921 | Other | TN | BLUE CROSS BLUE SHIELD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 727 | TN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164436762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4108 MOSS ROSE DR",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372162930",
"telephone_number": "615-516-9806",
"fax_number": "615-227-3152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 GALLATIN PIKE S",
"address_2": "SUITE 13",
"city": "MADISON",
"state": "TN",
"postal_code": "371154001",
"telephone_number": "615-516-9806",
"fax_number": "615-227-3152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "STEVEN",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "727",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "4117921",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.