Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Edward Davidson, LICSW

Individual provider Social Worker · NPI 1497271142

Edward Davidson, LICSW is a Clinical Social Worker in Santa Fe, New Mexico. Qualified in 2019, 7 years ago. Practices with Santa Fe Mountain Center Inc, a 5-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
7
Licensed in
NM
In the registry since
2017
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

3 Apache Trl
Santa Fe, NM 87505-1470
Phone: (505) 603-1103
Fax: (505) 438-6011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C-12082 (NM)
Social Worker Taxonomy 104100000X · Licence M10037 (NM)

Record details

NPI number1497271142
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedAugust 15, 2017
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025
Mailing address3 Apache Trl, Santa Fe, NM 87505-1470

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Santa Fe Mountain Center Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Santa Fe