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MS. RANDI SIMONE DAVIS LICSW
NPI 1366923633
Social Worker - Clinical in Boston, MA

Active since August 24, 2018
75 MALCOLM X BLVD, BOSTON, MA 02120(617) 635-8970 Get Directions Write a Review

NPPES record last updated: January 4, 2021. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Jan 4, 2021, Aug 24, 2018 (2 updates tracked since 2018).

About Ms. Randi Simone Davis Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. RANDI SIMONE DAVIS LICSW (NPI 1366923633) is an individual clinical provider in Boston, Massachusetts, licensed in Massachusetts (122616) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1366923633
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. RANDI SIMONE DAVISCredential: LICSW
Location Address75 MALCOLM X BLVDBoston, MA 02120-3106
Mailing Address555 Page St Unit 204Stoughton, MA 02072-6028 · (978) 729-4437
Phone(617) 635-8970
Sole ProprietorNo
Enumeration DateAugust 24, 2018
Last NPPES UpdateJanuary 4, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2021
✔ NPI 1366923633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in MA · 122616✔ Licensed in MA · 221957
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
75 MALCOLM X BLVD, Boston, MA 02120
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIA DEAVER ARNETT NP
Nurse Practitioner (Adult Health)
75 MALCOLM X BLVD
ROXBURY, MA 02120
Suffolk County (617) 534-9951

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randi Davis's NPI number?

The NPI number for Randi Davis is 1366923633. It was assigned to this individual provider in the NPPES registry on August 24, 2018.

Where is Randi Davis located?

Randi Davis practices at 75 Malcolm X Blvd, Boston, MA 02120. The listed phone number is (617) 635-8970.

What is Randi Davis's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Randi Davis was last updated on January 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.