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

Mrs. Lydia Rose Davis

Individual provider Mental Health Counselor · NPI 1821254764

Mrs. Lydia Rose Davis is a Clinical Social Worker in Everett, Washington. Qualified in 2014, 12 years ago. Licensed in Washington.

Years since qualifying
12
Licensed in
WA
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

1021 N Broadway
Everett, WA 98201-1405
Phone: (425) 493-5800
Fax: (425) 493-5801
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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
Mental Health Counselor Taxonomy 101YM0800X · Licence CG60144539 (WA)

Record details

NPI number1821254764
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 30, 2008
Last updated in NPPESJanuary 13, 2025
Certification dateJanuary 13, 2025
Mailing address1021 N Broadway, Everett, WA 98201-1405

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Everett