Richard E Davis, LCSW
Individual provider Active NPI Clinical Social Worker · Dover Foxcroft, ME
NPI 1639178759 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1639178759
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LC3864 (ME)
- Practice address
- 59 River St
Dover Foxcroft, ME 04426-1322 - Phone
- (207) 564-7106
- Fax
- (207) 564-0881
- NPI assigned
- Jul 20, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 92.4
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050524000743 | ME | Practitioner - Clinical Social Worker | 4486626603 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC3864 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MRH Corp. | Current |
Accepting new patients | |
| Charlotte White Center | Past | Accepting new patients |
Locations
891 W Main St
Ste 200
Dovr Foxcroft, ME 04426
Phone (207) 564-4464
891 W Main St
Ste 500
Dovr Foxcroft, ME 04426
Phone (207) 564-4466
897 W Main St
Dovr Foxcroft, ME 04426
Phone (207) 564-4464
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC3864 | ME | Yes |
Addresses
Primary practice location
59 River St
Dover Foxcroft, ME 04426-1322
Mailing address
PO Box 380
Dover Foxcroft, ME 04426-0380
Phone (207) 564-7106
Other providers in Dover Foxcroft, ME
- Amy Dahlberg
- David P Frasz MD
- Davis Long Term Care Group Inc
- Davis Long Term Care Group Inc
- Davis Long Term Care Group Inc
- Alyssa Deem
- Debbie Dellaire
- Christopher J Dempsey
- Dental Hygiene Associates of Maine, LLC
- DLTC Healthcare LLC
All providers in Dover Foxcroft, ME · Clinical Social Worker in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.