Victoria J Davidson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSW0000004461 Issued in TN

Practice address

3085 Broad St
Suite H
Chattanooga, TN 37408-3084

Phone

(423) 800-0668

Fax

(423) 521-8089

NPI assigned

May 12, 2008

Last updated

Dec 23, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419292800000",
    "number": "1437326162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3085 BROAD ST",
            "address_2": "SUITE H",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374083084",
            "telephone_number": "423-800-0668",
            "fax_number": "423-521-8089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 BROAD ST",
            "address_2": "SUITE H",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374083084",
            "telephone_number": "423-800-0668",
            "fax_number": "423-521-8089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "VICTORIA",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-12",
        "last_updated": "2014-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000004461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David W Adcock MD PLLC (Aesthetic Plastic & Reconstructive Surgery)
• Brooke Millison Lane David, OD
• Joy David, RBT
• Stephanie Nicole David, M.D.
• Ryann Davidson, RN
• Davis Supportive Living Home Inc.
• Sabrina Davis-
• Adolfo James Davis, DNP, AGACNP-BC
• Allan Eric Davis, MD
• Allison Davis

• Clinical Social Worker in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; 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.