Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELIZABETH ANN DAVIS, LCSW-R, CASAC
Active Sole ProprietorAddiction (Substance Use Disorder) Counselor · BOONVILLE, NY
Registration Details
- NPI Number
- 1760400584
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 18, 2006 (19.821540436434 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
3007 (NY)R053416-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
137 MAIN STBOONVILLE, NY, 133091309Browse NY providers · Browse ZIP 13309
- Phone
- 3152120977
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Clinical Social Worker
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.