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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICOLE DAVIS, MSW, LICSW, LADC

Active Sole Proprietor

NICOLE DAVIS, MSW, LICSW, LADC is a Mental Health Counselor healthcare provider located in ST PAUL PARK, Minnesota. NPI 1457846313 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · ST PAUL PARK, MN

Registration Details

NPI Number
1457846313
Provider Type
Individual
Gender
Female
NPI Issued
Jun 24, 2018 (8.156738374349 yrs)
Last Updated
Oct 30, 2025
Licenses
27532 (MN)
304395 (MN)
Sole Proprietor
Yes

Practice Information

Address
940 HASTINGS AVE
ST PAUL PARK, MN, 550711315
Browse MN providers · Browse ZIP 55071
Phone
6513540430
Primary Specialty
Mental Health Counselor
101YM0800X
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.