Healthcare Provider Details

I. General information

NPI: 1790905503
Provider Name (Legal Business Name): ANN CONANT DAVIES LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 W 70TH STE 1A
NEW YORK NY
10023
US

IV. Provider business mailing address

PO BOX 594 19 JAY ST
PHOENICIA NY
12464
US

V. Phone/Fax

Practice location:
  • Phone: 212-873-3422
  • Fax:
Mailing address:
  • Phone: 212-579-5016
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TP0814X
TaxonomyPsychoanalysis Psychologist
License NumberR0326211
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberR0326211
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: