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MS. MARIA LASALLE DAVIDSON LISW-S
NPI 1972009462
Counselor - Addiction (Substance Use Disorder) in Cleveland, OH

Active since April 03, 2018PECOS Enrolled
11811 SHAKER BLVD STE 113A, CLEVELAND, OH 44120(216) 509-9125 Get Directions Write a Review

NPPES record last updated: June 26, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Maria Lasalle Davidson Lisw-s NPPES

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

MS. MARIA LASALLE DAVIDSON LISW-S (NPI 1972009462) is an individual addiction (substance use disorder) provider in Cleveland, Ohio, licensed in Ohio (I1500352) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Cleveland.

NPPES Registry Identity

NPI1972009462
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. MARIA LASALLE DAVIDSONCredential: LISW-S
Location Address11811 SHAKER BLVD STE 113ACleveland, OH 44120-1927
Mailing Address9718 Heath AveCleveland, OH 44104-5518 · (216) 404-9506
Phone(216) 509-9125
Sole ProprietorNo
Enumeration DateApril 3, 2018
Last NPPES UpdateJune 26, 2019
✔ NPI 1972009462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · I1500352
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License I1500352 (OH)
11811 SHAKER BLVD STE 113A, Cleveland, OH 44120
Open in Google Maps ↗

Secondary Practice Location 1

Location 111811 Shaker Blvd Ste 123Cleveland, OH 44120-1927 · Phone (216) 242-2990 ext. 506

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Maria Lasalle Davidson Lisw-s 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Maria Davidson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

First Step With Maria LLC
Same address
Community/Behavioral Health
11811 SHAKER BLVD STE 113A
Cleveland, OH 44120
  • Reassigned Medicare billing, Ohio enrollment
NPI 1053972448 (216) 509-9125
Sondermind Provider Network LLC
1,232 mi
Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Ohio enrollment
  • 313 clinicians in this Medicare group
NPI 1760854442 (844) 843-7279

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

FIRST STEP WITH MARIA LLC
Community/Behavioral Health
11811 SHAKER BLVD STE 113A
CLEVELAND, OH 44120
Cuyahoga County (216) 509-9125

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 Maria Davidson's NPI number?

The NPI number for Maria Davidson is 1972009462. It was assigned to this individual provider in the NPPES registry on April 3, 2018.

Where is Maria Davidson located?

Maria Davidson practices at 11811 Shaker Blvd Ste 113A, Cleveland, OH 44120. The listed phone number is (216) 509-9125.

What is Maria Davidson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Maria Davidson enrolled in Medicare?

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

Which organizations bill Medicare for Maria Davidson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maria Davidson reassigns Medicare benefits to 2 organizations: First Step With Maria LLC (Cleveland, OH) and Sondermind Provider Network LLC (Denver, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maria Davidson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maria Davidson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Maria Davidson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maria Davidson was last updated on June 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.