Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathleen Ruth Davis

Individual provider Clinical Social Worker · NPI 1093469025

Kathleen Ruth Davis is a Clinical Social Worker in Port Angeles, Washington. Qualified in 2022, 4 years ago. Practices with Peninsula Behavioral Health, a 20-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
4
Licensed in
WA
In the registry since
2022

Practice location Address checks out

118 E 8th St
Port Angeles, WA 98362-6129
Phone: (360) 457-0431
Fax: (360) 457-0493
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LW61546770 (WA)

Record details

NPI number1093469025
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 8, 2022
Last updated in NPPESDecember 19, 2024
Certification dateDecember 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Peninsula Behavioral Health — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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