MRS. STEPHANIE WILDER DAVIDSON (LCSW) – Clinical Social Worker, NPI 1417982190

Clinical Social Worker

MRS. STEPHANIE WILDER DAVIDSON (LCSW) is a healthcare provider. based in Leesburg, Georgia. specializing in Clinical Social Worker. They hold the professional credentials LCSW. They hold a License No. 003623 (GA). The NPI Number for MRS. STEPHANIE WILDER DAVIDSON (LCSW) is 1417982190

Main info

Female

Sole Proprietor

26 Years Of Experience

Accepts Medicare Assignment

Name

MRS. STEPHANIE WILDER DAVIDSON (LCSW)

NPI

1417982190

Phone

(229) 886-8497

Address

133 WILLOW LAKE DR

Enumeration Date

11 July 2006

Last Update Date

1 December 2008

Doctor Profile

Medical School Name

OTHER

Secondary Phone

2297596508

Graduation Year

2000 (26 years ago)

PAC ID

7719986264

Group Practice PAC ID

7911811922

Professional Enrollment ID

I20061211000027

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MRS. STEPHANIE WILDER DAVIDSON (LCSW)

133 WILLOW LAKE DR
LEESBURG, GA 317635386
Phone: (229) 886-8497
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31763)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 7911811922View full group profile

Name	Specialty	State
DR. SAADI MARCO DARVISH (O.D)	O P T O M E T R Y	TX
JAMES WOMACK (PA-C)	-	GA
EDDIE JEAN TRUELOVE (MSN, APRN, BC)	-	GA
MS. DANIELLE K HEDDEN (FNP-C)	-	GA
DR. MATTHEW BRIAN SHELNUTT (DO)	O B S T E T R I C S/ G Y N E C O L O G Y	MI
FRANCES H. PARRISH (FNP)	Nurse Practitioner	GA
TIFFANY LYNN RADNEY (CNM)	Certified Nurse Midwife (Cnm)	GA
XIOMARA OKONKWO (D.P.M.)	P O D I A T R Y	CT
DR. FRANCES ELAINE FERGUSON (M.D.)	Internal Medicine	GA
CONCETTA TERRY (FNP-C)	Nurse Practitioner	GA

Reviews

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Frequently asked questions

How is MRS. STEPHANIE WILDER DAVIDSON (LCSW) identified in CMS data?

CMS-hosted NPPES data lists MRS. STEPHANIE WILDER DAVIDSON (LCSW) with NPI 1417982190.

Does the file indicate MRS. STEPHANIE WILDER DAVIDSON (LCSW) is practicing under active NPI?

Directory data currently reports MRS. STEPHANIE WILDER DAVIDSON (LCSW) as active.

What healthcare role does MRS. STEPHANIE WILDER DAVIDSON (LCSW) hold?

Scheduling teams often label MRS. STEPHANIE WILDER DAVIDSON (LCSW) under Clinical Social Worker. Clinical services aligned with this taxonomy classification.

Does MRS. STEPHANIE WILDER DAVIDSON (LCSW) list a practice location?

Patients near Leesburg, Georgia may find MRS. STEPHANIE WILDER DAVIDSON (LCSW) in results; validate coverage separately.

Why does MRS. STEPHANIE WILDER DAVIDSON (LCSW) have multiple addresses?

2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.