NANCY J. DAVIS (LICSW) – Clinical Social Worker, NPI 1679575534

NANCY J. DAVIS (LICSW) is a healthcare provider. based in Newburyport, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 1026515 (MA). The NPI Number for NANCY J. DAVIS (LICSW) is 1679575534

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
NANCY J. DAVIS (LICSW)
NPI
1679575534
Phone
(978) 462-2890
Address
143 STATE ST
Enumeration Date
11 August 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9789210708
Graduation Year
1991 (35 years ago)
PAC ID
0143258731
Professional Enrollment ID
I20050804000037
Address ID
MA019155858BE8XXXXSTXX308
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

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Provider Addresses for NANCY J. DAVIS (LICSW)

  • 143, State Street, Subdistrict C, Newburyport, Essex County, Massachusetts, 01922, United States

    NEWBURYPORT, MA 019506621

    Phone: (978) 462-2890

    Fax: (978) 462-2890

    Type: Mailing

  • 8, Thorndike Street, Beverly, Essex County, Massachusetts, 01915-4202, United States

    BEVERLY, MA 019155858

    Phone: (978) 462-2890

    Fax: (978) 462-2890

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-08-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050804000037IClinical Social WorkerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01950)

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Reviews

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Frequently asked questions

How do payers reference NANCY J. DAVIS (LICSW)?
For NANCY J. DAVIS (LICSW), use NPI 1679575534 as the unique 10-digit identifier.
Is NANCY J. DAVIS (LICSW) still an active registrant?
NANCY J. DAVIS (LICSW) carries an active NPI according to the public dataset.
How would a patient describe NANCY J. DAVIS (LICSW)'s focus?
For NANCY J. DAVIS (LICSW), the primary taxonomy reads as Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What locale is associated with NANCY J. DAVIS (LICSW)?
Directory geography for NANCY J. DAVIS (LICSW) centers on Newburyport, Massachusetts.
Does NANCY J. DAVIS (LICSW) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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