STACY DAVIDSON
NPI 1902570500
Social Worker - Clinical in Boston, MA

Active since August 06, 2021PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: July 19, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 3, 2023, Aug 6, 2021 (2 updates tracked since 2021).

About Stacy Davidson NPPES

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

STACY DAVIDSON (NPI 1902570500) is an individual clinical provider in Boston, Massachusetts, licensed in Massachusetts (LICSW114032) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1902570500
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSTACY DAVIDSON
Location Address66 CANAL STBoston, MA 02114-2002
Mailing Address47 Ocean St # 2rLynn, MA 01902-2024 · (802) 274-1771
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 6, 2021
Last NPPES UpdateJuly 19, 20252 updates tracked since enumeration
NPPES CertifiedJuly 19, 2025
NPI 1902570500 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 MA · LICSW114032
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.

66 CANAL ST, Boston, MA 02114

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Stacy Davidson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375032949
PECOS Enrollment IDI20251103001270
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 02114 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 $63.72 – $189.86
Typical copayment $0.00 (range $15.93 – $47.46)
Most-billed visit code NA
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

Social Worker (Clinical)
66 CANAL ST
BOSTON, MA 02114
Social Worker (Clinical)
66 CANAL ST
BOSTON, MA 02114
Social Worker (Clinical)
66 CANAL ST, BAY COVE TREATMENT CENTER
BOSTON, MA 02114
Social Worker (Clinical)
66 CANAL ST
BOSTON, MA 02114
Case Manager/Care Coordinator
66 CANAL ST
BOSTON, MA 02114
Social Worker (Clinical)
66 CANAL ST
BOSTON, MA 02114
Registered Nurse
66 CANAL ST
BOSTON, MA 02114
Counselor (Mental Health)
66 CANAL ST
BOSTON, MA 02114

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 Stacy Davidson's NPI number?

The NPI number for Stacy Davidson is 1902570500. It was assigned to this individual provider in the NPPES registry on August 6, 2021.

Where is Stacy Davidson located?

Stacy Davidson practices at 66 Canal St, Boston, MA 02114. The listed phone number is (617) 371-3000.

What is Stacy Davidson's specialty?

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

Is Stacy Davidson enrolled in Medicare?

Yes. Stacy Davidson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Stacy Davidson was last updated on July 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.