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

Nichole Davidson

Individual provider Clinical Social Worker · NPI 1881422814

Nichole Davidson is a Clinical Social Worker in Rockford, Illinois. Qualified in 2023, 3 years ago. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2024
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Practice location Address checks out

2704 N Main St
Rockford, IL 61103-3112
Phone: (779) 970-4554
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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 149031105 (IL)

Record details

NPI number1881422814
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 22, 2024
Last updated in NPPESFebruary 10, 2026
Certification dateFebruary 10, 2026
Mailing address2133 Melrose St, Rockford, IL 61103-4154

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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