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

MS. Randi Simone Davis, LICSW

Individual provider Clinical Social Worker · NPI 1366923633

MS. Randi Simone Davis, LICSW is a Clinical Social Worker in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2018.

Licensed in
MA
In the registry since
2018
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

75 Malcolm X Blvd
Boston, MA 02120-3106
Phone: (617) 635-8970
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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 122616 (MA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 221957 (MA)

Record details

NPI number1366923633
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedAugust 24, 2018
Last updated in NPPESJanuary 4, 2021
Certification dateJanuary 4, 2021
Mailing address555 Page St Unit 204, Stoughton, MA 02072-6028

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