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

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
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Practice location Address checks out

118 E 8th St
Port Angeles, WA 98362-6129
Phone: (360) 457-0431
Fax: (360) 457-0493
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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 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
Mailing address118 E 8th St, Port Angeles, WA 98362-6129

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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