Rebecca Davis
Individual provider Active NPI Social Worker · Athol, MA
NPI 1972983708 · NPPES record last updated Jun 6, 2015
Key facts
- NPI
- 1972983708
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 491 Main St
Athol, MA 01331-1846 - Phone
- (978) 249-9490
- Fax
- (978) 249-9514
- NPI assigned
- Jun 6, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
491 Main St
Athol, MA 01331-1846
Mailing address
491 Main St
Athol, MA 01331-1846
Other providers in Athol, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2015. 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.