Heather Adrienne Davidson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

29445 Issued in CA

Practice address

1406 Brett PL Unit 208
San Pedro, CA 90732-5063

Phone

(310) 351-2307

NPI assigned

Dec 22, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1671667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1902518889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 BRETT PL UNIT 208",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907325063",
            "telephone_number": "310-351-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 BRETT PL UNIT 208",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907325063",
            "telephone_number": "310-351-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "HEATHER",
        "middle_name": "ADRIENNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-22",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "29445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://horizonswithheatherpsychotherapy.clientsecure.me",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1406 Brett Pl Unit 208",
            "city": "San Pedro",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907325063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maxwell A. Dartey, M.D.
• Farina Yasmin Dary
• David E Feldman, M.D., Inc.
• David J. Campisi, M.D., a Medical Corporation
• David Martin D.D.S., Inc.
• Jodi-Anne Martina Davidson, NP
• Robert Owen Davies, M.D.
• Veronica Davies, M.S., MFTI
• Priscilla Jaylyn Davila Pedroza
• Robert Davis

• Clinical Social Worker in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.