Betsey Marie Davis, LCSW

Individual provider Active NPI Clinical Social Worker · Sanford, ME

NPI 1275502452 · NPPES record last updated Jun 4, 2012

Key facts

NPI
1275502452
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
LC9831 (ME)
Practice address
1397 Main Street
Sanford, ME 04074-0000
Phone
(207) 432-9056
NPI assigned
Mar 17, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC9831 ME Yes

Addresses

Primary practice location

1397 Main Street
Sanford, ME 04074-0000

Mailing address

1397 Maine Street
Sanford, ME 04074-0000
Phone (207) 432-9056

Other providers in Sanford, ME

All providers in Sanford, ME · Clinical Social Worker in Maine

Sources for this page

Verify at the official NPI Registry.