Active NPI
Elizabeth Lee Davis, LICSW
- Clinical Social Worker
- Chicopee, MA
National Provider Identifier
1508340449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 117730
- Practice address
- 701 Center St
Chicopee, MA 01013-1588 - Phone
- (413) 730-6907
- Fax
- (413) 730-6991
- NPI assigned
- Sep 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 117730 | MA | Primary |
Addresses
Primary practice location
701 Center St
Chicopee, MA 01013-1588
Mailing address
13 Boylston St FL 1
Easthampton, MA 01027-1501
Phone (413) 231-4437
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117730 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537142400000",
"number": "1508340449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 BOYLSTON ST FL 1",
"city": "EASTHAMPTON",
"state": "MA",
"postal_code": "010271501",
"telephone_number": "413-231-4437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 CENTER ST",
"city": "CHICOPEE",
"state": "MA",
"postal_code": "010131588",
"telephone_number": "413-730-6907",
"fax_number": "413-730-6991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ELIZABETH",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-17",
"last_updated": "2018-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "117730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicopee, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.