Renee Lee Davidson, MSW, LCSW
NPI 1609077502ActiveIndividual· Social Worker, Clinical· Glen Carbon, IL
Social Worker, Clinical (MSW, LCSW) in Glen Carbon, Illinois, licensed in IL and MO, with an NPI issued in May 2007.
Overview
| NPI | 1609077502 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSW, LCSW |
| Sole proprietor | Yes |
| NPI issued | May 29, 2007 |
| Last updated in NPPES | Sep 4, 2020 |
| Certified by provider | Sep 4, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 149016263 | IL |
| Social Worker, Clinical | 1041C0700X | 2007011917 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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