Whitney Davidson, LISW-CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

16320 Issued in SC

Practice address

302 S Broad St
Clinton, SC 29325-2507

Phone

(864) 938-2100

NPI assigned

Oct 19, 2018

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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Thornwell

  • Community/Behavioral Health Agency
  • Clinton, SC
  • NPI 1609137967
  NPD
• South Carolina Dept of Mental Health Accounting Office

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greenwood, SC
  • NPI 1124135009
  NPD (past)

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

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1447726286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 S BROAD ST",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293252507",
            "telephone_number": "864-938-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S BROAD ST",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293252507",
            "telephone_number": "864-938-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "WHITNEY",
        "credential": "LISW-CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-19",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "16320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "421504",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "3335",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Fowler Crow Sr., D.M.D.
• Heather Kathleen Crutchfield, MA
• Lee Jacobs Dailey, PHARMD
• James Dallis, M.D.
• Daniel P. Hartley, DMD, PA
• Rebecca Ann Day, RD, LD
• Debra a Stone
• Adrianna Fox Deise, APRN
• Kristin Rowland Derrick, DMD
• Justin Dillon, LPC

• All providers in Clinton, SC
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.