Gretchen Davidson, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2044 Issued in NH

Practice address

90 Odell Hill Rd
Conway, NH 03818-4401

Phone

(603) 730-2134

NPI assigned

Oct 10, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

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

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Spurwink Services Incorporated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portland, ME
  • NPI 1760507297
  NPD

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1194129726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 634",
            "city": "CENTER CONWAY",
            "state": "NH",
            "postal_code": "038130634",
            "telephone_number": "603-730-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 ODELL HILL RD",
            "city": "CONWAY",
            "state": "NH",
            "postal_code": "038184401",
            "telephone_number": "603-730-2134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1155 Lisbon St",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ME",
            "postal_code": "042405025",
            "country_code": "US",
            "telephone_number": "207-783-9141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 W Main St",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "NH",
            "postal_code": "038186142",
            "country_code": "US",
            "telephone_number": "603-447-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "GRETCHEN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "2044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Joy Crawford
• Mary Croasdale
• Deborah Ann Cross, ARNP
• Heather Cunningham
• Alec Daigle, DMD
• Lorraine Davis, WAIVER
• Sarah Davis, LCMHC
• Sora Z. Davis, LCMHC
• Day2Day Nutrition, LLC
• Christine Marie Dearborn, P.T.

• Clinical Social Worker in Conway, NH
• Providers in Conway, NH by specialty
• Clinical Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.