Kylie Louise Davis, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

20040 Issued in MN

Practice address

275 4TH St E Ste 555
Saint Paul, MN 55101-2538

Phone

(651) 333-4074

Fax

(715) 802-6332

NPI assigned

Dec 23, 2018

Last updated

Aug 24, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2001

Medicare assignment

May accept Medicare assignment

Group practices

Hope and Outreach Therapy Services, LLCGroup PAC ID 9830525351, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Hope & Outreach Therapy Services, LLC

  • Clinical Social Worker
  • Saint Paul, MN
  • NPI 1932679016
  Medicare reassignment Care Compare group NPD
• Blossom Wellness LLC

  • Clinic/Center
  • Oakdale, MN
  • NPI 1164289690
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1396217790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5804 126TH ST W",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551248224",
            "telephone_number": "651-246-1033",
            "fax_number": "715-802-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 4TH ST E STE 555",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012538",
            "telephone_number": "651-333-4074",
            "fax_number": "715-802-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KYLIE",
        "middle_name": "LOUISE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-23",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "20040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josaleen Muzquiz Davis, MD
• Kelly Davis, DPT
• Kiley McKenna Davis
• Kim Stokes Davis, CRNA
• Kyle Burton Davis, LICSW
• Laura C Davis, MS, LPCC, LADC
• William James Davison Jr., D.C.
• Abigail Cole Dawkins, LICSW
• Shabbir S Dawoodbhai, RPH
• George P Dawson, MD

• Clinical Social Worker in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.