Jessica Fawn Davidson, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

116718 Issued in NY

Practice address

800 Irving Ave
Syracuse, NY 13210-2716

Phone

(315) 425-4400

NPI assigned

Oct 28, 2024

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": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1801618251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4251 VIRGO CRSE",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130901919",
            "telephone_number": "315-657-6843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 IRVING AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102716",
            "telephone_number": "315-425-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "JESSICA",
        "middle_name": "FAWN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "116718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Daughton
• Timothy John Daughton Jr., D.C.
• David J Davin MD PLLC
• David J. Braun, O.D., P.C.
• David T. Nash, M.D. P.C. (Syracuse Preventive Cardiology)
• Kathryn Marsh Davidson, LCSW
• Maura Davidson
• Robert J Davies, DC
• Samantha McCauley Davies, M.S., CCC-SLP
• David J Davin, M.D.

• Social Worker in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.

Verify at the official NPI Registry.