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

Individual provider Mental Health Counselor · NPI 1396217790

Kylie Louise Davis, LICSW is a Clinical Social Worker in Maplewood, Minnesota. Qualified in 2001, 25 years ago. Practices with Hope and Outreach Therapy Services, LLC, a 4-clinician group. Licensed in Minnesota.

Years since qualifying
25
Licensed in
MN
In the registry since
2018
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

2443 Mamie Ave E
Maplewood, MN 55119-5906
Phone: (651) 246-1033
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 20040 (MN)

Record details

NPI number1396217790
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedDecember 23, 2018
Last updated in NPPESDecember 23, 2018

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Hope And Outreach Therapy Services, Llc — 4 clinicians
Accepts Medicare assignment Not indicated

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