Abigail Adele Davidson, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

227147 Issued in MA

Practice address

1671 Shirley Rd
Lancaster, MA 01523-3127

Phone

(978) 514-6500

NPI assigned

Sep 6, 2023

Last updated

Sep 6, 2023By the provider in NPPES

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

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": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1619753670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 MALVERN AVE",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021442416",
            "telephone_number": "203-494-8571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1671 SHIRLEY RD",
            "city": "LANCASTER",
            "state": "MA",
            "postal_code": "015233127",
            "telephone_number": "978-514-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "ABIGAIL",
        "middle_name": "ADELE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "227147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Ann Coteleso, N.P.
• Suzanne Crawford-Stacy, M.S., CCC-SLP
• Mary Patricia Crowley
• D'Ambrosio Eye Care, Inc.
• Francis A D'Ambrosio Jr., M.D.
• Marino Moreira De Souza, RN
• Dr. Franklin Perkins School
• Alison Eichmann, M.A., CCC-SLP
• Jason Edward Engelhardt, DC
• Richard C Erickson, O.D.

• Clinical Social Worker in Lancaster, MA
• Providers in Lancaster, MA by specialty
• Clinical Social Worker in Massachusetts

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