Raven Davidson
Social Worker in Conyers, GA. Individual provider (NPI-1).
NPI number1346904976
StatusActive
Last updated in NPPESOct 29, 2021
Details
- NPI
- 1346904976
- Entity type
- Individual (NPI-1)
- Name
- Raven Davidson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 29, 2021
- Certification date
- Oct 29, 2021
- Last updated
- Oct 29, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | – | – | Yes |
Practice location
2215 Exchange Pl SeConyers, GA 30013-6723
Phone 770-679-0586 · Fax 770-285-6325
Mailing address
5947 Sherrie LnPowder Springs, GA 30127-3439
Phone 404-834-2287
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 23 Social Worker providers in Conyers · All 2,198 providers in Conyers
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