Jordana Rachel Davidson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

086169 Issued in NY

Practice address

24302 Northern Blvd
Douglaston, NY 11362-1150

Phone

(718) 423-6200

NPI assigned

Jul 13, 2012

Last updated

Feb 20, 2018By 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 NY

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

Specialty

Clinical Social Worker

Education

New York University School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Samuel Field YmandywhaGroup PAC ID 9537154638, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Samuel Field Ym&Ywha

  • Adult Mental Health Clinic/Center
  • Little Neck, NY
  • NPI 1205862950
  Medicare reassignment Care Compare group NPD
• Karat Health, Inc.

  • Behavioral Neurology & Neuropsychiatry Physician
  • Long Island City, NY
  • NPI 1093228801
  NPD (past)
• United Cerebral Palsy Assoc of Nys Inc.

  dba Cerebral Palsy of NYS

  • Clinic/Center
  • Woodside, NY
  • NPI 1255496642
  NPD (past)

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519084800000",
    "number": "1528313707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SQUIRES PATH",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "119372526",
            "telephone_number": "516-314-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24302 NORTHERN BLVD",
            "city": "DOUGLASTON",
            "state": "NY",
            "postal_code": "113621150",
            "telephone_number": "718-423-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "JORDANA",
        "middle_name": "RACHEL",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-13",
        "last_updated": "2018-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Cooper, LCSW
• Core Balance Physical Therapy, P.C.
• Barney Anthony Cosenza, LMT
• Stefania Cuomo
• CVS Albany LLC (CVS Pharmacy# 00560)
• David De la Rosa, CASAC
• Chana R Delman, LMSW
• Demetra Demos
• Diane Depaz-El-Sawaf
• Paja Lee Donnelly, CNS NP IN PSYCHIATRY

• Clinical Social Worker in Douglaston, NY
• Providers in Douglaston, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.