Active NPIIndividual provider

Kelsey T Davidson, MA, LCDP

Counselor, Addiction (Substance Use Disorder) in Providence, Rhode Island

NPI Number1700436797
Practice location
530 N Main St, Providence, RI 02904-5762
Fax
—
Last updated
September 12, 2019

Kelsey Theresa Davidson is a Counselor, Addiction (Substance Use Disorder) based in Providence, RI. Kelsey Theresa Davidson practices in Providence, RI and has the professional credentials of MA, LCDP. The NPI Number for Kelsey Theresa Davidson is 1700436797 and holds a License No. CDP00814 (RI). The current practice location address for Kelsey Theresa Davidson is 530 N Main St, Providence, RI 02904-5762 and can be reached out via phone at 781-812-5163.

Provider Profile Details

NPI Number
1700436797
Provider Name
Kelsey Theresa Davidson
Credential
MA, LCDP
Provider Entity Type
Individual
Gender
Female
Address
530 N Main St, Providence, RI 02904-5762
Phone Number
781-812-5163
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
September 12, 2019
Last Update Date
September 12, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
530 N Main St
Providence, RI 02904-5762
Zip
02904-5762
Phone Number
781-812-5163
Providence, RI 02904Get directions →

Provider Business Mailing Address Details

Address
57 Charlton Ave
Pawtucket, RI 02860-6233
City
Pawtucket
State
RI
Zip
02860-6233
Phone Number
781-812-5163

License Information

License Number
CDP00814
License State
RI
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kelsey T Davidson, MA, LCDP?

The NPI number of Kelsey T Davidson, MA, LCDP is 1700436797. It was assigned on September 12, 2019 and is currently active in the NPPES registry.

What is the specialty of Kelsey T Davidson, MA, LCDP?

Kelsey T Davidson, MA, LCDP is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in RI under license number CDP00814.

Where does Kelsey T Davidson, MA, LCDP practice?

The practice location is 530 N Main St, Providence, RI 02904-5762. The office can be reached at 781-812-5163 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1700436797 directly on the NPPES registry website.

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