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

Elizabeth Davenport, LICSW

Individual provider Clinical Social Worker · NPI 1497818116

Elizabeth Davenport, LICSW is a Clinical Social Worker in Waltham, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2006.

Licensed in
MA
In the registry since
2006
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

740 Main St Ste #105
Waltham, MA 02451
Phone: (781) 937-4172
Fax: (781) 734-0482
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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 · Licence 100214 (MA)

Record details

NPI number1497818116
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedDecember 18, 2006
Last updated in NPPESJuly 8, 2007

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