Stacey L Davison, LCSW, SAC-T is a
Social Worker based in Jackson, Wisconsin. Stacey L Davison is licensed to practice in Wisconsin (license number 7889-123) and her current practice location is
3173 Sherman Parc Cir, Jackson, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(414) 491-2140.
NPI number for Stacey L Davison is 1073886107 and her current mailing address is 3173 Sherman Parc Cir, Jackson, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073886107.
Healthcare Provider's Profile
| Full Name | Stacey L Davison |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 3173 Sherman Parc Cir, Jackson, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1073886107
- Provider Enumeration Date: 02/21/2012
- Last Update Date: 04/17/2013
Medical Identifiers
Medical identifiers for Stacey L Davison such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073886107 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 7889-123 (Wisconsin) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 16529-130 (Wisconsin) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacey L Davison is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Stacey L Davison, LCSW, SAC-T
3173 Sherman Parc Cir,
Jackson, WI 53037-8954
Ph: (414) 491-2140 | Stacey L Davison, LCSW, SAC-T
3173 Sherman Parc Cir,
Jackson, WI 53037-8954
Ph: (414) 491-2140 |
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