Patricia H Davidson in Roanoke - Clinical

Patricia H Davidson - NPI 1861425704

Patricia H Davidson is a Clinical in Roanoke, Virginia. Patricia H Davidson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Patricia H Davidson is 1861425704. The last update date is 2007-07-08.

Patricia H Davidson's current location address is 360 Campbell Ave Sw, Roanoke, Virginia. You can contact this provider via phone number 5405635316 and fax number 5405635254. The mailing address for Patricia H Davidson is 360 Campbell Ave Sw, Roanoke, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Patricia H Davidson
Address 360 Campbell Ave Sw, Roanoke, Virginia
Phone Number 5405635316
Fax Number 5405635254
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1861425704
Provider Enumeration Date 2006-07-07
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 360 Campbell Ave Sw
City Roanoke
State Virginia (VA)
Post Code 240163625
Phone Number 5405635316
Fax Number 5405635254

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 904002367
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
240339 VA ANTHEM

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FAQs about Patricia H Davidson

What is the Patricia H Davidson's 1861425704?

The Patricia H Davidson's NPI (National Provider Identifier) Number is 1861425704. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Patricia H Davidson's facilities are geographically located?

The facilities of Patricia H Davidson are physically situated at the following location: 360 Campbell Ave Sw, Roanoke, VA, 240163625.

What is the Patricia H Davidson's specialty and taxonomy code?

The Patricia H Davidson's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1861425704 to Patricia H Davidson?

The Patricia H Davidson received its 1861425704 assignment from the Centers for Medicare & Medicaid Services on 2006-07-07.

As of what date were the details pertaining to Patricia H Davidson last refreshed?

The information related to the Patricia H Davidson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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