HANNAH DAVIDSON (APSW) – Counselor, NPI 1124773627

HANNAH DAVIDSON (APSW) is a healthcare provider. based in Kenosha, Wisconsin. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials APSW. They hold a License No. 12395-123 (WI). The NPI Number for HANNAH DAVIDSON (APSW) is 1124773627

Main info

Female
6 Years Of Experience
Name
HANNAH DAVIDSON (APSW)
NPI
1124773627
Phone
(262) 654-1004
Address
6233 39TH AVE
Enumeration Date
14 February 2022
Last Update Date
22 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2626560044
Graduation Year
2020 (6 years ago)
PAC ID
6406352145
Group Practice PAC ID
0941195168
Professional Enrollment ID
I20251001004575
Address ID
WI531405917KE4536XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

1,446 CLINICAL SOCIAL WORKER in WI

Provider Addresses for HANNAH DAVIDSON (APSW)

  • 6233 39TH AVE

    KENOSHA, WI 531427015

    Phone: (262) 654-1004

    Type: Mailing

  • 2108 63RD ST

    KENOSHA, WI 531434454

    Phone: (414) 587-0627

    Type: Location

  • 4006 WASHINGTON RD

    KENOSHA, WI 531444819

    Phone:

    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: 2025-10-01

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
I20251001004575IClinical Social WorkerWITBD

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 53142)

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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: 0941195168View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)IL
Nurse PractitionerWI
Emergency MedicineWI
Clinical Social WorkerIL
Mental Health CounselorWI
-WI
Nurse PractitionerWI
P S Y C H I A T R YWI
Nurse PractitionerWI
Nurse PractitionerWI

Reviews

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Frequently asked questions

Is there an official ID for HANNAH DAVIDSON (APSW) in U.S. healthcare records?
The official identifier for HANNAH DAVIDSON (APSW) is NPI 1124773627.
Is HANNAH DAVIDSON (APSW) shown as active in public data?
Registry records indicate HANNAH DAVIDSON (APSW) maintains an active NPI.
What clinical focus is listed for HANNAH DAVIDSON (APSW)?
At a glance, HANNAH DAVIDSON (APSW) is tied to Counselor. Clinical services aligned with this taxonomy classification.
What locale is associated with HANNAH DAVIDSON (APSW)?
Directory geography for HANNAH DAVIDSON (APSW) centers on Kenosha, Wisconsin.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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