La Tonya Nicole Davison, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

MSW010676 Issued in GA

Practice address

1343 Terrell Mill Rd SE Ste 244
Marietta, GA 30067-9472

Phone

(817) 381-0598

NPI assigned

Jul 6, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1609509694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N STATE HIGHWAY 360 APT 3621",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633565",
            "telephone_number": "817-682-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 TERRELL MILL RD SE STE 244",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300679472",
            "telephone_number": "817-381-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVISON",
        "first_name": "LA TONYA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "MSW010676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Alexis Davis, LPC
• Shellie R Davis, CCC-SLP
• Thaddeus Davis
• Trevor Davis
• Cecil Davison II
• Wendy N Davison, CPNP
• Dawn Primary Care
• Dawnsther Non Emergency Medical Transportation
• Janelle Dawsey, LMFT
• Millie Ann Dawson-Hardy, PHD, LPC, MAT

• Clinical Social Worker in Marietta, GA
• Providers in Marietta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.