Philip G Davidson II, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

0904000380 Issued in VA

Practice address

327 W 21St Street
Suite 205
Norfolk, VA 23517

Phone

(757) 622-9852

Fax

(757) 622-4033

NPI assigned

Nov 6, 2006

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• The Psychotherapy Center Solutions for Living LTD

  • Group Psychotherapy Psychologist
  • Norfolk, VA
  • NPI 1972678464
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265511596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 W 21ST STREET",
            "address_2": "SUITE 205",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23517",
            "telephone_number": "757-622-9852",
            "fax_number": "757-622-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 W 21ST STREET",
            "address_2": "SUITE 205",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23517",
            "telephone_number": "757-622-9852",
            "fax_number": "757-622-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "PHILIP",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VA",
            "license": "0904000380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul R David, DDS
• Amanda Beaman Davidson, PA
• Brooke Elizabeth Davidson, MD
• Harley Edward Davidson, PHARMD MPH
• Holly H Davidson, NNP
• Rosemary O. Davidson, APRN-BC
• Timothy O Davies, MD
• Anne Marie Davis Dare, AU.D.
• Anna Kieffer Davis, LCSW
• Betty Ann Davis, LPC, NCC

• Social Worker in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Social Worker in Virginia

• 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.