Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE DAVIS, MSW, LICSW, LADC
Active Sole ProprietorNICOLE 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 AVEST PAUL PARK, MN, 550711315Browse MN providers · Browse ZIP 55071
- Phone
- 6513540430
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
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.