Active NPI
Naomi Judith Davidson, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1861626103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R030660-1
- Practice address
- 200 E 61St St Apt 39a
New York, NY 10065-8556 - Phone
- (212) 874-3770
- NPI assigned
- May 14, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | R030660-1 | NY | Primary |
Addresses
Primary practice location
200 E 61St St Apt 39a
New York, NY 10065-8556
Mailing address
200 E 61St St Apt 39a
New York, NY 10065-8556
Phone (212) 874-3770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Mar 18, 2019 through Mar 18, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R030660-1 | NY | MD | Clinical Social Worker |
| 030660 | NY | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553126400000",
"number": "1861626103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E 61ST ST APT 39A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100658556",
"telephone_number": "212-874-3770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E 61ST ST APT 39A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100658556",
"telephone_number": "212-874-3770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "NAOMI",
"middle_name": "JUDITH",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-14",
"last_updated": "2019-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R030660-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.