MR. MARK HENDERSON DAVIS LICSW
NPI 1457786998
Social Worker - Clinical in Fridley, MN
About Mr. Mark Henderson Davis Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MARK HENDERSON DAVIS LICSW (NPI 1457786998) is an individual clinical provider in Fridley, Minnesota, licensed in Minnesota (3796) and active in the NPI registry since September 2013.
NPPES Registry Identity
Specialties & Licenses
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 Mark Davis's NPI number?
The NPI number for Mark Davis is 1457786998. It was assigned to this individual provider in the NPPES registry on September 3, 2013.
Where is Mark Davis located?
Mark Davis practices at 5384 Street NE Community Options Fridley, Fridley, MN 55421. The listed phone number is (763) 572-0004.
What is Mark 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 Mark Davis was last updated on September 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.