Active NPI
Janice Davison, LCSW C
- Clinical Social Worker
- Easton, MD
National Provider Identifier
1194763698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12526
- Practice address
- 29520 Canvasback Dr
Easton, MD 21601-7124 - Phone
- (410) 822-5007
- Fax
- (410) 822-5569
- NPI assigned
- Jun 4, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 12526 | MD | Primary |
Addresses
Primary practice location
29520 Canvasback Dr
Easton, MD 21601-7124
Mailing address
2336 Goddard Pkwy
Salisbury, MD 21801-1126
Phone (410) 334-6961
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0039 | Other | MD | CAREFIRST BCBS FEDERAL |
| 522156095 | Other | MD | MHNET BEHAVIORAL HEALTH |
| 609550002 | Medicaid | MD | |
| 100085885 | Other | MD | APS HEALTHCARE |
| 2173188 | Other | MD | UNITED HEALTH CARE |
| 522156095 | Other | MD | UNITED BEHAVIORAL HEALTH |
| 784751-000 | Other | MD | MAGELLAN |
| 880696 | Other | MD | UNICARE/NCPPO |
| 643331-05 | Other | MD | CAREFRIST BCBS LOCAL |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| For All Seasons, Inc. | Clinical | Past | Accepting new patients |
| Total Care, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Cambridge, MD
- NPI 1871732693
-
- Clinical Psychologist
- Abingdon, MD
- NPI 1467688051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291075200000",
"number": "1194763698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2336 GODDARD PKWY",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218011126",
"telephone_number": "410-334-6961",
"fax_number": "410-334-6960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29520 CANVASBACK DR",
"city": "EASTON",
"state": "MD",
"postal_code": "216017124",
"telephone_number": "410-822-5007",
"fax_number": "410-822-5569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVISON",
"first_name": "JANICE",
"credential": "LCSW C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-04",
"last_updated": "2010-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "12526",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS FEDERAL",
"identifier": "0039",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHNET BEHAVIORAL HEALTH",
"identifier": "522156095",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "609550002",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APS HEALTHCARE",
"identifier": "100085885",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "2173188",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "522156095",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "784751-000",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNICARE/NCPPO",
"identifier": "880696",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFRIST BCBS LOCAL",
"identifier": "643331-05",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Easton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.