Individual provider Active NPI

Katherine Genevieve Davidge, LCSW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1437213899
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-1853 Issued in NM
Practice address
3150 Carlisle Blvd NE Ste 22
Albuquerque, NM 87110-1679
Phone
(505) 830-6030
Fax
(505) 830-6031
NPI assigned
Dec 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C-1853 NM Primary

Addresses

Primary practice location

3150 Carlisle Blvd NE Ste 22
Albuquerque, NM 87110-1679

Mailing address

3150 Carlisle Blvd NE Ste 22
Albuquerque, NM 87110-1679
Phone (505) 830-6030

Other identifiers 6

IdentifierTypeStateIssuer
011646OtherNMCARELON
028431000OtherNMMAGELLAN HEALTH SERVICES
95656MedicaidNM
201002251OtherNMPRESBYTERIAN INSURANCE CO
NM00R36TOtherNMBCBS
8476675OtherNJLOVELACE HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111206000261 NM Practitioner - Clinical Social Worker 7618142498 Practice locations: Albuquerque, NM

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Iowa, RJ & L Carver College of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3150 Carlisle Blvd NE
Suite 22
Albuquerque, NM 87110-1679
Phone 50583060301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C-1853NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ravensnow L.L.C. Past Accepting new patients
Sage Bear Counseling, LLC Clinical Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1437213899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 CARLISLE BLVD NE STE 22",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101679",
            "telephone_number": "505-830-6030",
            "fax_number": "505-830-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 CARLISLE BLVD NE STE 22",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101679",
            "telephone_number": "505-830-6030",
            "fax_number": "505-830-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDGE",
        "first_name": "KATHERINE",
        "middle_name": "GENEVIEVE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-1853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARELON",
            "identifier": "011646",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN HEALTH SERVICES",
            "identifier": "028431000",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95656",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN INSURANCE CO",
            "identifier": "201002251",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NM00R36T",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOVELACE HEALTH PLAN",
            "identifier": "8476675",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.