Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KYLIE LOUISE DAVIS LICSW
NPI 1396217790
Social Worker - Clinical in Saint Paul, MN

Active since December 23, 2018PECOS Enrolled
275 4TH ST E STE 555, SAINT PAUL, MN 55101(651) 333-4074(715) 802-6332 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 24, 2026, Dec 23, 2018 (2 updates tracked since 2018).

About Kylie Louise Davis Licsw NPPES

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

KYLIE LOUISE DAVIS LICSW (NPI 1396217790) is an individual clinical provider in Saint Paul, Minnesota, licensed in Minnesota (20040) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1396217790
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKYLIE LOUISE DAVISCredential: LICSW
Location Address275 4TH ST E STE 555Saint Paul, MN 55101-2538
Mailing Address5804 126th St WApple Valley, MN 55124-8224 · (651) 246-1033 · Fax (715) 802-6332
Fax(715) 802-6332
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateDecember 23, 2018
Last NPPES UpdateAugust 24, 20262 updates tracked since enumeration
NPPES CertifiedAugust 24, 2026
NPI 1396217790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MN · 20040
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.
275 4TH ST E STE 555, Saint Paul, MN 55101

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kylie Louise Davis Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416380944
PECOS Enrollment IDI20191213001210
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

Social Worker (Clinical)
275 4TH ST E STE 555
SAINT PAUL, MN 55101
Social Worker (Clinical)
275 4TH ST E STE 555
SAINT PAUL, MN 55101
Social Worker (Clinical)
275 4TH ST E STE 555
SAINT PAUL, MN 55101
Social Worker (Clinical)
275 4TH ST E STE 555
SAINT PAUL, MN 55101

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 Kylie Davis's NPI number?

The NPI number for Kylie Davis is 1396217790. It was assigned to this individual provider in the NPPES registry on December 23, 2018.

Where is Kylie Davis located?

Kylie Davis practices at 275 4th St E Ste 555, Saint Paul, MN 55101. The listed phone number is (651) 333-4074.

What is Kylie Davis's specialty?

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

Is Kylie Davis enrolled in Medicare?

Yes. Kylie Davis is registered in the Medicare PECOS enrollment system.

What insurance does Kylie Davis accept?

Health plans from HealthPartners list Kylie Davis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kylie Davis was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.