MS. SAMANTHA DAVIDSON LMSW
NPI 1104500669
Social Worker in Shelton, CT

Active since June 14, 2023PECOS Enrolled
10 PROGRESS DR STE 2, SHELTON, CT 06484(203) 538-6244(203) 732-1529 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Samantha Davidson Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SAMANTHA DAVIDSON LMSW (NPI 1104500669) is an individual social worker in Shelton, Connecticut and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104500669
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMS. SAMANTHA DAVIDSONCredential: LMSW
Location Address10 PROGRESS DR STE 2Shelton, CT 06484-6294
Mailing Address130 Division StDerby, CT 06418-1326 · (203) 538-6244 · Fax (203) 732-1529
Fax(203) 732-1529
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 14, 2023
NPPES CertifiedJune 13, 2023
NPI 1104500669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
10 PROGRESS DR STE 2, Shelton, CT 06484

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Samantha Davidson Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658877568
PECOS Enrollment IDI20250930003368
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
10 PROGRESS DR STE 2
SHELTON, CT 06484
Internal Medicine
10 PROGRESS DR STE 2
SHELTON, CT 06484

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Davidson's NPI number?

The NPI number for Samantha Davidson is 1104500669. It was assigned to this individual provider in the NPPES registry on June 14, 2023.

Where is Samantha Davidson located?

Samantha Davidson practices at 10 Progress Dr Ste 2, Shelton, CT 06484. The listed phone number is (203) 538-6244.

What is Samantha Davidson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Samantha Davidson enrolled in Medicare?

Yes. Samantha Davidson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samantha Davidson was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.