Active NPI
Payton Davidson, LMSW
- Social Worker
- Dallas, TX
National Provider Identifier
1376382192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 106228
- Practice address
- 5349 Amesbury Dr Apt 1501
Dallas, TX 75206-3497 - Phone
- (601) 935-0666
- NPI assigned
- May 21, 2024
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 106228 | TX | Primary |
Addresses
Primary practice location
5349 Amesbury Dr Apt 1501
Dallas, TX 75206-3497
Mailing address
5349 Amesbury Dr Apt 1501
Dallas, TX 75206-3497
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106228 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716249600000",
"number": "1376382192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5349 AMESBURY DR APT 1501",
"city": "DALLAS",
"state": "TX",
"postal_code": "752063497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5349 AMESBURY DR APT 1501",
"city": "DALLAS",
"state": "TX",
"postal_code": "752063497",
"telephone_number": "601-935-0666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "PAYTON",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-21",
"last_updated": "2024-05-21",
"certification_date": "2024-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "106228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.