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

Individual provider Clinical Social Worker · NPI 1902570500

Stacy Davidson is a Clinical Social Worker in Boston, Massachusetts. Qualified in 2022, 4 years ago. Practices with Bay Cove Human Services, Inc, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
4
Licensed in
MA
In the registry since
2021
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Practice location Address checks out

66 Canal St
Boston, MA 02114-2002
Phone: (617) 371-3000
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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 LICSW114032 (MA)

Record details

NPI number1902570500
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 6, 2021
Last updated in NPPESJuly 19, 2025
Certification dateJuly 19, 2025
Mailing address47 Ocean St # 2r, Lynn, MA 01902-2024

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 Bay Cove Human Services, Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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