BETHANY DAVISON (LCSW) – Clinical Social Worker, NPI 1144927633

BETHANY DAVISON (LCSW) is a healthcare provider. based in Califon, New Jersey. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 094597 (NY). The NPI Number for BETHANY DAVISON (LCSW) is 1144927633

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
BETHANY DAVISON (LCSW)
NPI
1144927633
Phone
(617) 605-3956
Address
283 W Valley Brook Rd
Enumeration Date
14 February 2023
Last Update Date
1 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2122717200
Graduation Year
2015 (11 years ago)
PAC ID
1951756329
Group Practice PAC ID
1254223217
Professional Enrollment ID
I20231116000676
Address ID
NY100114401NE356XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

2,724 CLINICAL SOCIAL WORKER in NJ

Provider Addresses for BETHANY DAVISON (LCSW)

  • 283 W Valley Brook Rd

    Califon, NJ 078303531

    Phone: (617) 605-3956

    Type: Location

  • 356 W 18TH ST

    NEW YORK, NY 100114401

    Phone: (617) 605-3956

    Type: Mailing

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-10-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231005001102IClinical Social WorkerNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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 07830)

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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: 1254223217View full group profile
NameSpecialtyState
Nurse PractitionerNY
Clinical Social WorkerNY
Nurse PractitionerPA
Clinical Social WorkerNY
Physician AssistantAL
Nurse PractitionerNY
Cardiovascular Disease (Cardiology), Internal MedicineNY
Nurse PractitionerRI
Nurse PractitionerNY
Nurse PractitionerNJ

Reviews

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Frequently asked questions

What NPI should I save for BETHANY DAVISON (LCSW)?
Save NPI 1144927633 if you need a stable reference for BETHANY DAVISON (LCSW).
Is BETHANY DAVISON (LCSW)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does BETHANY DAVISON (LCSW) list a primary specialty?
If you are matching referrals, note Clinical Social Worker for BETHANY DAVISON (LCSW). Clinical services aligned with this taxonomy classification.
Does BETHANY DAVISON (LCSW) practice in New Jersey?
You will see Califon, New Jersey on file for BETHANY DAVISON (LCSW) alongside any extra practice locations.
Is BETHANY DAVISON (LCSW) a real provider?
This page reflects official NPPES data for NPI 1144927633. Always confirm identity and privileges with the practice and licensing boards.

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