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

Gary Ralph Davis, LCSW

Individual provider Clinical Social Worker · NPI 1790309003

Gary Ralph Davis, LCSW is a Clinical Social Worker in Berea, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2020
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

275 Pine Valley Rd
Berea, KY 40403-9544
Phone: (859) 302-7504
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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 447 (KY)

Record details

NPI number1790309003
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 2, 2020
Last updated in NPPESJune 2, 2020
Certification dateJune 2, 2020
Mailing address275 Pine Valley Rd, Berea, KY 40403-9544

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