MRS. STEPHANIE WILDER DAVIDSON LCSW
NPI 1417982190
Social Worker - Clinical in Leesburg, GA

Active since July 11, 2006
133 WILLOW LAKE DR, LEESBURG, GA 31763(229) 886-8497 Get Directions Write a Review

NPPES record last updated: December 1, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Stephanie Wilder Davidson Lcsw NPPES

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

MRS. STEPHANIE WILDER DAVIDSON LCSW (NPI 1417982190) is an individual clinical provider in Leesburg, Georgia, licensed in Georgia (003623) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1417982190
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. STEPHANIE WILDER DAVIDSONCredential: LCSW
Location Address133 WILLOW LAKE DRLeesburg, GA 31763-5386
Mailing Address133 Willow Lake DrLeesburg, GA 31763-5386 · (229) 886-8497
Sole ProprietorYes
Enumeration DateJuly 11, 2006
Last NPPES UpdateDecember 1, 2008
NPI 1417982190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in GA · 003623
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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
133 WILLOW LAKE DR, Leesburg, GA 31763

Other Names 1

Former Name (1)Mrs. Stephanie Wilder Davidson Lcsw

Other Identifiers 3

Medicaid381809514AGA
Medicare ID-Type Unspecified80BBGJMGA
Other1417982190GA · Npi Number

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 Stephanie Davidson's NPI number?

The NPI number for Stephanie Davidson is 1417982190. It was assigned to this individual provider in the NPPES registry on July 11, 2006. The provider is also known as Mrs. Stephanie Wilder Davidson Lcsw.

Where is Stephanie Davidson located?

Stephanie Davidson practices at 133 Willow Lake Dr, Leesburg, GA 31763. The listed phone number is (229) 886-8497.

What is Stephanie Davidson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Stephanie Davidson was last updated on December 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.