Stephanie Wilder Davidson in Leesburg - Clinical
Stephanie Wilder Davidson - NPI 1417982190
Stephanie Wilder Davidson is a Clinical in Leesburg, Georgia. Stephanie Wilder Davidson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stephanie Wilder Davidson is 1417982190. The last update date is 2008-12-01.
Stephanie Wilder Davidson's current location address is 133 Willow Lake Dr, Leesburg, Georgia. You can contact this provider via phone number 2298868497. The mailing address for Stephanie Wilder Davidson is 133 Willow Lake Dr, Leesburg, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephanie Wilder Davidson |
|---|---|
| Address | 133 Willow Lake Dr, Leesburg, Georgia |
| Phone Number | 2298868497 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1417982190 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2008-12-01 |
Provider Mailing Address Detail
| Address | 133 Willow Lake Dr |
|---|---|
| City | Leesburg |
| State | Georgia (GA) |
| Post Code | 317635386 |
| Phone Number | 2298868497 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 3623 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1417982190 | GA | NPI NUMBER | |
| 381809514A | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Stephanie Wilder Davidson by the Centers for Medicare & Medicaid Services (CMS)?
The Stephanie Wilder Davidson has been assigned the NPI (National Provider Identifier) 1417982190. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Stephanie Wilder Davidson is geographically located?
The Stephanie Wilder Davidson is physically situated at the following location: 133 Willow Lake Dr, Leesburg, GA, 317635386.
What is Stephanie Wilder Davidson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Stephanie Wilder Davidson is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
When did the Stephanie Wilder Davidson receive its 1417982190?
The Stephanie Wilder Davidson was issued its 1417982190 on 2006-07-11, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Stephanie Wilder Davidson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Stephanie Wilder Davidson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-12-01.