Grace Davis, LCSW

Individual provider Active NPI Clinical Social Worker · Hanover, MA

NPI 1902644487 · NPPES record last updated Aug 12, 2024

Key facts

NPI
1902644487
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
229529 (MA)
Practice address
PO Box 2306
Hanover, MA 02339-8306
Phone
(781) 826-0011
Fax
(781) 826-0012
NPI assigned
Jul 18, 2024
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for Spiritual Life and Psychotherapy Inc Past
since Jul 1, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 229529 MA Yes

Addresses

Primary practice location

PO Box 2306
Hanover, MA 02339-8306

Mailing address

136 Beaconsfield Rd Apt 6
Brookline, MA 02445-3318
Phone (443) 683-3260

Other providers in Hanover, MA

All providers in Hanover, MA · Clinical Social Worker in Massachusetts

Sources for this page

Verify at the official NPI Registry.