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

Mrs. Stephanie Wilder Davidson, LCSW

Individual provider Clinical Social Worker · NPI 1417982190

Mrs. Stephanie Wilder Davidson, LCSW is a Clinical Social Worker in Leesburg, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

133 Willow Lake Dr
Leesburg, GA 31763-5386
Phone: (229) 886-8497
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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 003623 (GA)

Record details

NPI number1417982190
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 11, 2006
Last updated in NPPESDecember 1, 2008

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