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

Dominique Davis, LCSW

Individual provider Clinical Social Worker · NPI 1417382375

Dominique Davis, LCSW is a Clinical Social Worker in Frederick, Maryland. Works from 3 locations. Licensed in Maryland, New York and Pennsylvania.

Licensed in
MD, NY, PA
In the registry since
2013
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

210 Abrecht Pl
Frederick, MD 21701-4918
Phone: (301) 663-8263
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1630 Corn Crib Pl, Frederick, MD 21702-1675 — (716) 417-4163
  • 2455 Union Blvd Apt 4g, Islip, NY 11751-3149 — (716) 417-4163

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 32754 (MD)
Clinical Social Worker Taxonomy 1041C0700X · Licence CW025643 (PA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 085815 (NY)

Record details

NPI number1417382375
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 11, 2013
Last updated in NPPESApril 21, 2025
Certification dateApril 21, 2025

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