Arnold Gardner Davis Jr., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC1258 Issued in ME

Practice address

813 Main St
Waterboro, ME 04087-3006

Phone

(207) 247-6131

NPI assigned

Jan 16, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Associated Eye Care, P.a.

  • Optometrist
  • Sanford, ME
  • NPI 1144245150
  NPD (past)
• Massabesic Regional Medical Center

  • Family Medicine Physician
  • Waterboro, ME
  • NPI 1386731552
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225180920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 OAK LN",
            "city": "EAST WATERBORO",
            "state": "ME",
            "postal_code": "040305119",
            "telephone_number": "207-247-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 MAIN ST",
            "city": "WATERBORO",
            "state": "ME",
            "postal_code": "040873006",
            "telephone_number": "207-247-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ARNOLD",
        "middle_name": "GARDNER",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC1258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan C Caron
• Emily Carrick, OTR/L
• Scott Thomas Castonguay, PHARMACIST
• Kaitlin Murphy Champagne, OTR/L
• Melissa Cunningham, LMT
• Denise Davis
• Jennifer Ann Durrua
• Timothy John Folley
• Generations, LLC
• Kristi Holland

• Clinical Social Worker in Waterboro, ME
• Providers in Waterboro, ME by specialty
• Clinical Social Worker in Maine

• 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.

Verify at the official NPI Registry.