Mary Catherine Yates Davison, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9547-M Issued in AR

Practice address

2500 Lakeview Rd
North Little Rock, AR 72116-9300

Phone

(501) 618-1888

NPI assigned

Aug 5, 2019

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

Other names 1

• Cate Davison Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1356996540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 LAKEVIEW RD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721169300",
            "telephone_number": "501-618-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 LAKEVIEW RD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721169300",
            "telephone_number": "501-618-1888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4701 Fairway Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "North Little Rock",
            "state": "AR",
            "postal_code": "721168069",
            "country_code": "US",
            "telephone_number": "501-771-8261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVISON",
        "first_name": "MARY CATHERINE",
        "middle_name": "YATES",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "9547-M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATE",
            "last_name": "DAVISON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Monzelle Obrian Davis, ACNPC-AG
• Morgan Davis
• Nancy Kang Davis, MD
• Shannon Marquita Davis, RN
• Tessa Monique Davis, MS, OTR/L
• Dawson J Williams
• Bradley Scott Dawson
• Bruce Edward Dawson Jr.
• Jose G De la Rosa, D.C.
• Kenny A De Luca, P.T.

• Clinical Social Worker in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.