Individual
JANICE DAVISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW C
Contact information
Practice address
29520 CANVASBACK DR, EASTON, MD 21601-7124
(410) 822-5007
(410) 822-5569
Mailing address
2336 GODDARD PKWY, SALISBURY, MD 21801-1126
(410) 334-6961
(410) 334-6960
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12526
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039
CAREFIRST BCBS FEDERAL
MD
01
—
100085885
APS HEALTHCARE
MD
01
—
2173188
UNITED HEALTH CARE
MD
01
—
522156095
MHNET BEHAVIORAL HEALTH
MD
05
—
609550002
—
MD
01
—
643331-05
CAREFRIST BCBS LOCAL
MD
01
—
784751-000
MAGELLAN
MD
01
—
880696
UNICARE/NCPPO
MD
Enumeration date
06/04/2006
Last updated
11/30/2010
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