DR. KATHLEEN K DAVIS (PHD, LICSW) – Clinical Social Worker, NPI 1962544379

DR. KATHLEEN K DAVIS (PHD, LICSW) is a healthcare provider. based in Yarmouth port, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials PHD, LICSW. They hold a License No. 113949 (MA). The NPI Number for DR. KATHLEEN K DAVIS (PHD, LICSW) is 1962544379

Main info

Female
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. KATHLEEN K DAVIS (PHD, LICSW)
NPI
1962544379
Phone
(508) 237-9940
Address
18 SKIPPER LN
Enumeration Date
13 February 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5082379940
Graduation Year
2001 (25 years ago)
PAC ID
7214031418
Professional Enrollment ID
I20070328000243
Address ID
MA026751933YA18XXXLNXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

Provider Addresses for DR. KATHLEEN K DAVIS (PHD, LICSW)

  • 18 SKIPPER LN

    YARMOUTH PORT, MA 026751933

    Phone: (508) 237-9940

    Type: Mailing

  • 165 KING'S HIGHWAY

    ROUTE 6A

    ORLEANS, MA 02653

    Phone: (508) 237-9940

    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: 2007-03-28

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
I20070328000243IClinical 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 02675)

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Reviews

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Frequently asked questions

What unique ID ties claims to DR. KATHLEEN K DAVIS (PHD, LICSW)?
NPI 1962544379 is assigned to DR. KATHLEEN K DAVIS (PHD, LICSW) under the national enumeration system.
Is DR. KATHLEEN K DAVIS (PHD, LICSW)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. KATHLEEN K DAVIS (PHD, LICSW)?
The page reflects Clinical Social Worker for DR. KATHLEEN K DAVIS (PHD, LICSW). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. KATHLEEN K DAVIS (PHD, LICSW)?
The page summarizes Yarmouth Port, Massachusetts for DR. KATHLEEN K DAVIS (PHD, LICSW); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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