Elizabeth Shea Davis, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

111609 Issued in MA

Practice address

170 Union St Ste 202
Lynn, MA 01901-1325

Phone

(781) 592-6975

Fax

(781) 592-7061

NPI assigned

Mar 15, 2007

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649304296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 WARREN ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019502219",
            "telephone_number": "978-463-0506",
            "fax_number": "781-592-7061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 UNION ST STE 202",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011325",
            "telephone_number": "781-592-6975",
            "fax_number": "781-592-7061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ELIZABETH",
        "middle_name": "SHEA",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "111609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Eagan PC
• David W. Douglas, MD
• Dorothy Davies, LICSW
• Davis Square Dental Specialists
• Amanda Davis, CNM
• Evemarie Tol Davis, M.ED OF DEAF
• Kelly Davis, RN
• Wilson Davis
• Sheila Arlene Dawson-Elward, L/PTA
• Cynthia De Leon, PA-C

• Clinical Social Worker in Lynn, MA
• Providers in Lynn, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.