Individual provider Active NPI

Amy-Marie Davidson

  • Clinical Social Worker
  • Ayer, MA
National Provider Identifier
1538472014
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1 3Rd St
Ayer, MA 01432-1812
Phone
(978) 501-5132
NPI assigned
Jul 26, 2010
Last updated
Aug 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary
School Social Worker 1041S0200X MA

Addresses

Primary practice location

1 3Rd St
Ayer, MA 01432-1812

Mailing address

1 3Rd St
Ayer, MA 01432-1812
Phone (978) 501-5132

Other practice location 1

36 Great Rd Apt 5
Bedford, MA 01730-2158
Phone (617) 512-4531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1538472014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 3RD ST",
            "city": "AYER",
            "state": "MA",
            "postal_code": "014321812",
            "telephone_number": "978-501-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 3RD ST",
            "city": "AYER",
            "state": "MA",
            "postal_code": "014321812",
            "telephone_number": "978-501-5132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36 Great Rd Apt 5",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "MA",
            "postal_code": "017302158",
            "country_code": "US",
            "telephone_number": "617-512-4531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "AMY-MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-26",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ayer, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.