Active NPI
David Stewart Pearson, LCSW
- Clinical Social Worker
- Augusta, GA
National Provider Identifier
1881955409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW004695
- Practice address
- 2052 Gordon Hwy
Augusta, GA 30909-5427 - Phone
- (706) 955-9224
- NPI assigned
- May 30, 2012
- Sex
- Male
- 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 | CSW004695 | GA | Primary |
Addresses
Primary practice location
2052 Gordon Hwy
Augusta, GA 30909-5427
Mailing address
135 New Castle Ave
Belvedere, SC 29841-2633
Phone (803) 278-6919
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 |
|---|---|---|---|
| CSW004695 | GA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338336000000",
"number": "1881955409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 NEW CASTLE AVE",
"city": "BELVEDERE",
"state": "SC",
"postal_code": "298412633",
"telephone_number": "803-278-6919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2052 GORDON HWY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309095427",
"telephone_number": "706-955-9224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "DAVID",
"middle_name": "STEWART",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-30",
"last_updated": "2012-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW004695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
- Mark Eugene Peacock, DMD, MS
- Ronald Thomas Peacock, D.D.S.
- Peak Rehabilitation, Fitness and Performance Center
- Gwendolyn F. Pearsall-Reid, LMSW
- David Charles Pearson, DMD
- Richard James Pearson Jr., D.O., PH.D., J.D.
- Shayla Pearson
- Pebe Med, Inc
- Meredith Cundey Peckel, PHARM D
- Justen Edgar Peckham, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.