Individual provider · Type 1 NPI

Miles Ernest Davison, LCSW

Clinical Social Worker · Roanoke, VA

NPI number 1154838290 Active

Practice location

1719 Grandin Rd SW
Roanoke, VA 24015-2815

Mailing address

2049 Windsor Ave SW Apt 4
Roanoke, VA 24015-2331

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904010320 (VA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1154838290

Miles Ernest Davison, LCSW's National Provider Identifier is 1154838290, issued on Jan 10, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Roanoke, VA. The record was last updated on Jan 10, 2018.