MRS. MICHELLE LATONDRA DAVIDSON LCSW
NPI 1679602783
Social Worker - Clinical in Louisville, KY

Q: What is Michelle Davidson's NPI number?

The NPI number for Michelle Davidson is 1679602783. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Q: What is Michelle Davidson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michelle Davidson was last updated on March 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 05, 2007PECOS Enrolled

600 S PRESTON ST, LOUISVILLE, KY 40202(502) 589-8600 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 19, 2025, Sep 26, 2022 (2 updates tracked since 2022).

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About Mrs. Michelle Latondra Davidson Lcsw NPPES

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

MRS. MICHELLE LATONDRA DAVIDSON LCSW (NPI 1679602783) is an individual clinical provider in Louisville, Kentucky, licensed in Kentucky (3410) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679602783

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. MICHELLE LATONDRA DAVIDSONCredential: LCSW

Location Address600 S PRESTON STLouisville, KY 40202-1716

Mailing Address10401 Linn Station Rd Ste 100Louisville, KY 40223-3842 · (502) 589-8600 · Fax (502) 589-8745

Phone(502) 589-8600

Sole ProprietorYes

Enumeration DateMarch 5, 2007

Last NPPES UpdateMarch 19, 20252 updates tracked since enumeration

NPPES CertifiedMarch 19, 2025

✔ NPI 1679602783 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 KY · 3410

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.

600 S PRESTON ST, Louisville, KY 40202

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Other Identifiers 1

Medicaid7100284300KY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Michelle Latondra Davidson Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $52.76 – $162.27

Typical copayment $0.00 (range $13.19 – $40.56)

Most-billed visit code NA

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

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

ELAINE STAMPER

Counselor (Addiction (Substance Use Disorder))