Active NPI
Theresa Davidson
- Clinical Social Worker
- Wynnewood, PA
National Provider Identifier
1427967678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW017578
- Practice address
- 517 Twin Oaks Dr
Wynnewood, PA 19096-2631 - Phone
- (215) 620-1943
- NPI assigned
- Sep 3, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | CW017578 | PA | Primary |
Addresses
Primary practice location
517 Twin Oaks Dr
Wynnewood, PA 19096-2631
Mailing address
517 Twin Oaks Dr
Wynnewood, PA 19096-2631
Phone (215) 620-1943
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1427967678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 TWIN OAKS DR",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190962631",
"telephone_number": "215-620-1943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 TWIN OAKS DR",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190962631",
"telephone_number": "215-620-1943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "THERESA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-03",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW017578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wynnewood, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.