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

Mindy Diane Davis, LICSW

Individual provider Social Worker · NPI 1508882200

Mindy Diane Davis, LICSW is a Social Worker in Vancouver, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006
Specialties on file
2
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

309 W 12th St
Vancouver, WA 98660-2903
Phone: (360) 365-1325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence LW60062992 (WA)
Clinical Social Worker Taxonomy 1041C0700X · Licence LW60062992 (WA)

Record details

NPI number1508882200
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJuly 14, 2006
Last updated in NPPESDecember 18, 2018

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