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

Michael D Davidson, MSW, LICSW

Individual provider Clinical Social Worker · NPI 1912541566

Michael D Davidson, MSW, LICSW is a Clinical Social Worker in Vancouver, Washington. Qualified in 2016, 10 years ago. Practices with Mindful Therapy Group PC, a 646-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
10
Licensed in
WA
In the registry since
2019
Specialties on file
3
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

205 E 11th St Ste LL8
Vancouver, WA 98660-3311
Phone: (360) 600-1375
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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 LW61180278 (WA)
Clinical Social Worker Taxonomy 1041C0700X · Licence SC60790068 (WA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 60790068 (WA)

Record details

NPI number1912541566
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , LICSW
Sole proprietorYes
NPI enumeratedNovember 6, 2019
Last updated in NPPESJuly 17, 2024
Certification dateJuly 11, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Mindful Therapy Group Pc — 646 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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