Active NPIIndividual providerSole proprietor

Sandra Kiley-Davis, LCSW

Social Worker, Clinical in Brockton, Massachusetts

NPI Number1497854459
Practice location
165 Quincy St, Brockton, MA 02302-2988
Fax
—
Last updated
July 8, 2007

Sandra Kiley-Davis is a Social Worker, Clinical based in Brockton, MA. Sandra Kiley-Davis practices in Brockton, MA and has the professional credentials of LCSW. The NPI Number for Sandra Kiley-Davis is 1497854459 and holds a License No. 213087 (MA). The current practice location address for Sandra Kiley-Davis is 165 Quincy St, Brockton, MA 02302-2988 and can be reached out via phone at 508-897-2000.

Provider Profile Details

NPI Number
1497854459
Provider Name
Sandra Kiley-Davis
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
165 Quincy St, Brockton, MA 02302-2988
Phone Number
508-897-2000
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 22, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
165 Quincy St
Brockton, MA 02302-2988
Zip
02302-2988
Phone Number
508-897-2000
Brockton, MA 02302Get directions →

Provider Business Mailing Address Details

Address
722 Avalon Dr
Hull, MA 02045-3421
City
Hull
State
MA
Zip
02045-3421

License Information

License Number
213087
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Sandra Kiley-Davis, LCSW?

The NPI number of Sandra Kiley-Davis, LCSW is 1497854459. It was assigned on September 22, 2006 and is currently active in the NPPES registry.

What is the specialty of Sandra Kiley-Davis, LCSW?

Sandra Kiley-Davis, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 213087.

Where does Sandra Kiley-Davis, LCSW practice?

The practice location is 165 Quincy St, Brockton, MA 02302-2988. The office can be reached at 508-897-2000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1497854459 directly on the NPPES registry website.

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