Kimberly Davis, LCSW

Individual provider Active NPI Clinical Social Worker · Plain City, UT

NPI 1265635312 · NPPES record last updated Mar 12, 2026

Key facts

NPI
1265635312
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
2973 W 3150 N
Plain City, UT 84404-6797
Phone
(801) 652-7127
NPI assigned
Jun 7, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities of Buffalo Past
since Mar 10, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Yes

Addresses

Primary practice location

2973 W 3150 N
Plain City, UT 84404-6797

Mailing address

2973 W 3150 N
Plain City, UT 84404-6797
Phone (801) 652-7127

Other providers in Plain City, UT

All providers in Plain City, UT · Clinical Social Worker in Utah

Sources for this page

Verify at the official NPI Registry.