LIANE D. DAVIS (LICSW) – Clinical Social Worker, NPI 1841868361

LIANE D. DAVIS (LICSW) is a healthcare provider. based in Marblehead, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 1168-SW-LICSW-TEMP (MA). The NPI Number for LIANE D. DAVIS (LICSW) is 1841868361

Main info

Female
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
LIANE D. DAVIS (LICSW)
NPI
1841868361
Phone
(781) 639-7713
Address
16 SOUTH ST
Enumeration Date
11 June 2021
Last Update Date
11 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7816318273
Graduation Year
1995 (31 years ago)
PAC ID
8123425261
Group Practice PAC ID
2860464138
Professional Enrollment ID
I20210916001131
Address ID
MA019451737MA66XXXAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

Provider Addresses for LIANE D. DAVIS (LICSW)

  • 16 SOUTH ST

    MARBLEHEAD, MA 019453221

    Phone: (781) 639-7713

    Type: Mailing

  • 66 CLIFTON AVE

    MARBLEHEAD, MA 019451737

    Phone: (781) 631-8273

    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: 2021-09-16

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
I20210916001131IClinical 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 01945)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860464138View full group profile
NameSpecialtyState
-MA
Clinical Social WorkerMA
Clinical Social WorkerMA
Mental Health CounselorMA
-MA
-MA
Clinical Social WorkerMA
Clinical Social WorkerMA
Mental Health CounselorMA

Reviews

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Frequently asked questions

What is the registry number for LIANE D. DAVIS (LICSW)?
The registry entry for LIANE D. DAVIS (LICSW) shows NPI 1841868361.
Quick check: is LIANE D. DAVIS (LICSW) active?
Public NPPES data shows LIANE D. DAVIS (LICSW) with an active NPI status right now.
What type of care does LIANE D. DAVIS (LICSW) provide?
LIANE D. DAVIS (LICSW)'s profile centers on Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Can patients visit LIANE D. DAVIS (LICSW) in Marblehead, Massachusetts?
For routing, start with Marblehead, Massachusetts for LIANE D. DAVIS (LICSW), then verify phone and hours locally.
Who maintains LIANE D. DAVIS (LICSW)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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