Marie Joanna Davidiak, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2265 Issued in MN

Practice address

1932 Viking Dr NW
Rochester, MN 55901-2460

Phone

(507) 281-6240

NPI assigned

Dec 4, 2006

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)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891863197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 RIVER CT NE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559062800",
            "telephone_number": "507-282-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 VIKING DR NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559012460",
            "telephone_number": "507-281-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDIAK",
        "first_name": "MARIE",
        "middle_name": "JOANNA",
        "name_prefix": "Ms.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "2265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sachin T Dave, MD
• Seema S Dave, RPH
• Sharon M Davern, MSED
• David J. Hagstrom LLC
• Carol Marie David, CRNA
• Brock Davidson, MD
• Brooklynn Davidson
• John H Davidson, M.D.
• Norman P Davies, MBBS
• Alexandra Marie Austin Davis, MD

• Clinical Social Worker in Rochester, MN
• Providers in Rochester, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.