Andrew M Davidson, LCSW,LCADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3549 Issued in KY

Practice address

1387 Lexington Rd FRNT House
Louisville, KY 40206-1926

Phone

(502) 387-9074

NPI assigned

Apr 6, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520467200000",
    "number": "1174645337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 LAKESIDE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402052128",
            "telephone_number": "502-387-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1387 LEXINGTON RD FRNT HOUSE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402061926",
            "telephone_number": "502-387-9074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "ANDREW",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "LCSW,LCADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2018-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3549",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "ADCLAD00225188",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Kristina David Kubek, D.D.S.
• David P Rouben MD PSC
• David P. Moore, M.D., PLLC
• David S Decker, MD PSC
• David T. Dodd DMD
• Anna Davidson, DNP PMHNP-BC
• Arna Lynn Davidson, NP
• Carolyn E Davidson, PH.D.
• Chad Davidson
• Evan M Davidson, MD

• Clinical Social Worker in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; 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.