Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARK HENDERSON DAVIS, LICSW
ActiveMR. MARK HENDERSON DAVIS, LICSW is a Clinical Social Worker healthcare provider located in FRIDLEY, Minnesota. NPI 1457786998 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · FRIDLEY, MN
Registration Details
- NPI Number
- 1457786998
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 3, 2013 (12.901940848739 yrs)
- Last Updated
- Sep 3, 2013
- License
-
3796 (MN)
Practice Information
- Address
-
5384 STREET NECOMMUNITY OPTIONS FRIDLEYFRIDLEY, MN, 55421Browse MN providers · Browse ZIP 55421
- Phone
- 7635720004
- Fax
- 7635721295
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in FRIDLEY, MN
| Name | Credential | NPI |
|---|---|---|
| DEANNE MILLER | LICSW | 1679516611 |
| MRS. CHRISTINE C. KVIDERA | MSW, LICSW | 1568489649 |
| MRS. KRISTEN MARIE FRITSINGER | MSW, LICSW | 1407864812 |
| PAUL CARLETON RYALS | LICSW | 1336152644 |
| MS. SUSAN JANE VENZKE | SOCIAL WORKER | 1598874703 |
| JAMES MULLER POWELL | L.I.C.S.W. | 1174634992 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.