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

Mrs. Lydia Rose Davis

Individual provider Mental Health Counselor · NPI 1821254764

Mrs. Lydia Rose Davis is a Clinical Social Worker in Everett, Washington. Qualified in 2014, 12 years ago. Licensed in Washington.

Years since qualifying
12
Licensed in
WA
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

1021 N Broadway
Everett, WA 98201-1405
Phone: (425) 493-5800
Fax: (425) 493-5801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Mental Health Counselor Taxonomy 101YM0800X · Licence CG60144539 (WA)

Record details

NPI number1821254764
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 30, 2008
Last updated in NPPESJanuary 13, 2025
Certification dateJanuary 13, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated

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