Individual
BRIGID DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
20 EASTBROOK RD STE 104, DEDHAM, MA 02026-2088
(781) 329-9365
(781) 302-4635
Mailing address
20 EASTBROOK RD STE 104, DEDHAM, MA 02026-2088
(781) 329-9365
(781) 302-4635
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
126274
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000023532
BMC
MA
01
—
042611055
TAX ID
MA
01
—
1004745
NHP
MA
01
—
1303287
MBHP
MA
05
—
1303287
—
MA
01
—
99618201
NETWORK HEALTH
MA
01
—
M18633
BCBS
MA
Enumeration date
09/08/2015
Last updated
07/24/2023
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