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MRS. LYDIA ROSE DAVIS
NPI 1821254764
Social Worker - Clinical in Everett, WA

Active since July 30, 2008PECOS Enrolled
1021 N BROADWAY, EVERETT, WA 98201(425) 493-5800(425) 493-5801 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Lydia Rose Davis NPPES

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

MRS. LYDIA ROSE DAVIS (NPI 1821254764) is an individual clinical provider in Everett, Washington and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1821254764
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. LYDIA ROSE DAVIS
Location Address1021 N BROADWAYEverett, WA 98201-1405
Mailing Address1021 N BroadwayEverett, WA 98201-1405 · (425) 493-5800 · Fax (425) 493-5801
Phone(425) 493-5800
Fax(425) 493-5801
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 30, 2008
Last NPPES UpdateJanuary 13, 2025
NPPES CertifiedJanuary 13, 2025
✔ NPI 1821254764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License CG60144539 (WA)
1021 N BROADWAY, Everett, WA 98201
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross Blue Shield of North Dakota, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Lydia Rose Davis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244767143
PECOS Enrollment IDI20260311002904
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.

Medicare Billing Reassignment

Medicare enrollment records show Lydia Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
2,736 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Arizona, North Dakota, Texas and Washington enrollments
  • 532 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98201 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 $57.27 – $172.80
Typical copayment $0.00 (range $14.31 – $43.20)
Most-billed visit code NA
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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 20

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

CHRISTINA WILSON MA, MHP
Counselor (Mental Health)
1021 N BROADWAY
EVERETT, WA 98201
Snohomish County (425) 347-3149
MELISSA MALLORY
Counselor (Mental Health)
1021 N BROADWAY
EVERETT, WA 98201
Snohomish County (425) 493-5800
DANA BROWN
Counselor (Mental Health)
1021 N BROADWAY
EVERETT, WA 98201
Snohomish County (425) 493-5800
CHARLES EDWARD HOLLOWAY
Counselor (Mental Health)
1021 N BROADWAY
EVERETT, WA 98201
Snohomish County (425) 493-5800
NATASHA J LAWSON
Counselor (Mental Health)
1021 N BROADWAY
EVERETT, WA 98201
Snohomish County (425) 493-5815
CAMILLA D. PRINCE
Counselor (Mental Health)
1021 N BROADWAY
EVERETT, WA 98201
Snohomish County (425) 493-5800
BRENDA SMOLICK
Student in an Organized Health Care Education/Training Program
1021 N BROADWAY
EVERETT, WA 98201
Snohomish County (425) 493-5800
CONSTANCE MARIE WILSON CG
Counselor (Mental Health)
1021 N BROADWAY
EVERETT, WA 98201
Snohomish County (425) 493-5800

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 Lydia Davis's NPI number?

The NPI number for Lydia Davis is 1821254764. It was assigned to this individual provider in the NPPES registry on July 30, 2008.

Where is Lydia Davis located?

Lydia Davis practices at 1021 N Broadway, Everett, WA 98201. The listed phone number is (425) 493-5800.

What is Lydia Davis's specialty?

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

Is Lydia Davis enrolled in Medicare?

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

Which organization bills Medicare for Lydia Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lydia Davis reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lydia Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lydia Davis accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross Blue Shield of North Dakota, Cigna HealthCare of Arizona, Inc, Cigna Healthcare and Moda Health Plan, Inc. and 1 other insurer list Lydia 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 Lydia Davis was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.