Mrs Gwendolen Haydon Davis, LCSW is a
Social Worker - Clinical based in Springtown, Texas. Mrs Gwendolen Haydon Davis is licensed to practice in Florida (license number SW7677) and her current practice location is
467 Red Bird Dr, Springtown, Texas. She can be reached at her office (for appointments etc.) via phone at
(904) 716-5619.
NPI number for Mrs Gwendolen Haydon Davis is 1043360639 and her current mailing address is 467 Red Bird Dr, Springtown, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043360639.
Healthcare Provider's Profile
| Full Name | Mrs Gwendolen Haydon Davis |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 467 Red Bird Dr, Springtown, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1043360639
- Provider Enumeration Date: 01/12/2007
- Last Update Date: 12/01/2025
Medical Identifiers
Medical identifiers for Mrs Gwendolen Haydon Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043360639 | NPI | - | NPPES |
| 2502590 | Other | FL | CIGNA-EVERNORTH |
| 277216 | Other | FL | MHN |
| Z074E | Other | FL | BCBS OUT OF NETWORK PROV |
| 061642215 | Other | FL | INIDIVDUAL TAX ID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | SW7677 (Florida) | Primary |
| 1041C0700X | Social Worker - Clinical | C003093 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | 115462 (Texas) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Gwendolen Haydon Davis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Gwendolen Haydon Davis, LCSW
467 Red Bird Dr,
Springtown, TX 76082-2942
Ph: (904) 716-5619 | Mrs Gwendolen Haydon Davis, LCSW
467 Red Bird Dr,
Springtown, TX 76082-2942
Ph: (904) 716-5619 |
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