Individual provider · Type 1 NPI

Lydia Rose Davis

Clinical Social Worker · Everett, WA

NPI number 1821254764 Active

Practice location

1021 N Broadway
Everett, WA 98201-1405

Fax (425) 493-5801

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XCG60144539 (WA)
Clinical Social Worker Primary 1041C0700XNone listed

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 1821254764

Lydia Rose Davis's National Provider Identifier is 1821254764, issued on Jul 30, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Everett, WA. The record was last updated on Jan 13, 2025.