Individual
DANIEL DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
645 BROADWAY, SOMERVILLE, MA 02145-2528
(781) 303-4763
(781) 712-2094
Mailing address
645 BROADWAY, SOMERVILLE, MA 02145-2528
(781) 303-4763
(781) 712-2094
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW2140928
MA
Other
Enumeration date
09/02/2024
Last updated
10/24/2025
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