Individual provider · Type 1 NPI

Kylie Louise Davis, LICSW

Clinical Social Worker · St. Paul, MN

NPI number 1396217790 Active

Practice location

275 4th St E Ste 555
St. Paul, MN 55101-2538

Call (651) 333-4074 Map

Fax (715) 802-6332

Mailing address

5804 126th St W
Apple Valley, MN 55124-8224

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X20040 (MN)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1396217790

Kylie Louise Davis, LICSW's National Provider Identifier is 1396217790, issued on Dec 23, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Paul, MN. The record was last updated on Aug 24, 2026.