Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1881768562 Deactivated / Inactive NPI Male Practitioner

Roy Harry Davidson , LCSW

Counselor • Redway, CA

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Roy Davidson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 17, 2006
NPI Deactivation Date September 24, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Roy Davidson, LCSW was a registered Counselor practicing in Redway, CA. Throughout an active medical career spanning 15 years, Roy Davidson provided care at the practice location at 101 WEST COAST ROAD until profile deactivation on 2021-09-24.

Practice Location & Contact Primary Location

Practice Address

101 West Coast Road

Redway, CA 95560

Telephone 7079232783
Fax 7079232543
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Redway, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Redway, CA (14303 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License CA LCS21985

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
Morgan Hines

Physician Assistant - Medical

NPI 1013482231
NPI 1124242888
Dr. Anne Njoku , DNP, FNP-C, BSN, RN

Nurse Practitioner - Family

NPI 1174356216

Doctor of Nursing Practice, Family Nurse Practitioner (Certified), Bachelor of Science in Nursing, Registered Nurse

NPI 1235098005

Doctor of Dental Surgery

Sarah Lippitt Houston , FNP

Nurse Practitioner - Family

NPI 1306141676

Family Nurse Practitioner

Anthony Pirouz , PA-C

Physician Assistant

NPI 1366833923

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated September 24, 2021

Record deactivated on September 24, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 101 WEST COAST ROAD, REDWAY, CA 95560 (Tel: 7079232783)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 99, MYERS FLAT, CA 955540099 (Tel: 2079433312)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ROY DAVIDSON, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (License #LCS21985 in CA)

🟢
Initial NPI Registration & Enumeration November 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Roy Davidson. Be the first to share your experience!

Sign in to leave a review for Roy Davidson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1881768562
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 17, 2006
Last Update: July 08, 2007
Deactivation Date: September 24, 2021

Mailing Address

Po Box 99

Myers Flat, CA 955540099

Phone: 2079433312

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.