Individual provider · Type 1 NPI

Gary Ralph Davis, LCSW

Clinical Social Worker · Berea, KY

NPI number 1790309003 Active

Practice location

275 Pine Valley Rd
Berea, KY 40403-9544

Call (859) 302-7504 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X447 (KY)

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 1790309003

Gary Ralph Davis, LCSW's National Provider Identifier is 1790309003, issued on Jun 2, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Berea, KY. The record was last updated on Jun 2, 2020.