Mr. Brent Davison, LICSW
Social Worker, Clinical in Gloucester, Massachusetts
1679631527- Practice location
- 92 Prospect St, Gloucester, MA 01930
- Phone
- 617-605-2279
- Fax
- 978-281-1739
- Last updated
- July 24, 2018
Brent Davison is a Social Worker, Clinical based in Gloucester, MA. Brent Davison practices in Gloucester, MA and has the professional credentials of LICSW. The NPI Number for Brent Davison is 1679631527 and holds a License No. 101369 (MA). The current practice location address for Brent Davison is 92 Prospect St, Gloucester, MA 01930 and can be reached out via phone at 617-605-2279 and via fax at 978-281-1739.
Provider Profile Details
- NPI Number
- 1679631527
- Provider Name
- Brent Davison
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 92 Prospect St, Gloucester, MA 01930
- Phone Number
- 617-605-2279
- Fax Number
- 978-281-1739
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 4, 2006
- Last Update Date
- July 24, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 92 Prospect St
Gloucester, MA 01930 - City
- Gloucester
- State
- Massachusetts
- Zip
- 01930
- Phone Number
- 617-605-2279
- Fax Number
- 978-281-1739
Provider Business Mailing Address Details
- Address
- 92 Prospect St
Gloucester, MA 01930-3710 - City
- Gloucester
- State
- MA
- Zip
- 01930-3710
- Phone Number
- 617-605-2279
- Fax Number
- 978-281-1739
License Information
- License Number
- 101369
- License State
- MA
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mr. Brent Davison, LICSW?
The NPI number of Mr. Brent Davison, LICSW is 1679631527. It was assigned on December 4, 2006 and is currently active in the NPPES registry.
What is the specialty of Mr. Brent Davison, LICSW?
Mr. Brent Davison, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 101369.
Where does Mr. Brent Davison, LICSW practice?
The practice location is 92 Prospect St, Gloucester, MA 01930. The office can be reached at 617-605-2279 (phone) or 978-281-1739 (fax).
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 1679631527 directly on the NPPES registry website.