Active NPI
Brittany Rose Davison, LCSW
- Clinical Social Worker
- Southbridge, MA
National Provider Identifier
1689248338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 229810
- Practice address
- 23 South Street
Southbridge, MA 01550 - Phone
- (774) 230-8578
- NPI assigned
- May 18, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 229810 | MA | Primary |
Addresses
Primary practice location
23 South Street
Southbridge, MA 01550
Mailing address
23 South Street
Southbridge, MA 01550
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Webster |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 229810 | MA | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child and Family Psychological Services, PLLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710806400000",
"number": "1689248338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 SOUTH STREET",
"city": "SOUTHBRIDGE",
"state": "MA",
"postal_code": "01550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 SOUTH STREET",
"city": "SOUTHBRIDGE",
"state": "MA",
"postal_code": "01550",
"telephone_number": "774-230-8578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVISON",
"first_name": "BRITTANY",
"middle_name": "ROSE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-18",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "229810",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Webster",
"affiliation": "N",
"address_1": "340 Thompson Rd",
"city": "Webster",
"state": "MA",
"country_code": "US",
"postal_code": "015701509",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Southbridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.