Individual
WHITNEY DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
302 S BROAD ST, CLINTON, SC 29325-2507
(864) 938-2100
Mailing address
302 S BROAD ST, CLINTON, SC 29325-2507
(864) 938-2100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16320
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3335
MEDICARE
SC
05
—
421504
—
SC
Enumeration date
10/19/2018
Last updated
08/31/2023
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