Healthcare Provider Details

I. General information

NPI: 1194643429
Provider Name (Legal Business Name): APRIL HERRELL DAVIDSON LCSW-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1415 W NC HIGHWAY 54 STE 105
DURHAM NC
27707-5598
US

IV. Provider business mailing address

1415 W NC HIGHWAY 54 STE 105
DURHAM NC
27707-5598
US

V. Phone/Fax

Practice location:
  • Phone: 919-275-1405
  • Fax:
Mailing address:
  • Phone: 770-912-6092
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP023869
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: