Lori Kay Davis, LICSW
Individual provider Active NPI Clinical Social Worker · Williston, VT
NPI 1891759775 · NPPES record last updated Jan 14, 2020
Key facts
- NPI
- 1891759775
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 089-0000396 (VT)
- Practice address
- 183 Talcott Rd Ste 206
Williston, VT 05495-2075 - Phone
- (802) 876-1100
- Fax
- (802) 876-1101
- NPI assigned
- Apr 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 089-0000396 | VT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vermont Children'S Aid Society | Clinical | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 089-0000396 | VT | Yes |
Addresses
Primary practice location
183 Talcott Rd Ste 206
Williston, VT 05495-2075
Mailing address
183 Talcott Rd Ste 206
Williston, VT 05495-2075
Phone (802) 876-1100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18984 | Other | VT | BLUE CROSS BLUE SHIELD |
| 03-0179601 | Other | VT | CBA INSURANCE |
| 383032 | Other | VT | MVP HEALTH CARE |
| 1007616 | Medicaid | VT |
Other providers in Williston, VT
- Margaret Mary Czabaj
- D. Douglas Shaw
- Judith C Daly
- David W. Beeson, O.D., P.C.
- Jill B Davis
- Emily Gail Dawley
- Pamela Jane Dawson
- Jessi S Deboer (Farnsworth)
- Ronald Dell'Amore
- Hope Lindsay Denison
All providers in Williston, VT · Clinical Social Worker in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.