MEDICARE: TRACEY ANN DAVEY LICSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	116635	MA

General Provider Information

NPI Number	:	1972735926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACEY ANN DAVEY LICSW

Provider Business Mailing Address
First Line	:	793 WASHINGTON ST
Second Line	:
City	:	CANTON
State	:	MA
Zip	:	02021-3023
Country	:	US
Telephone Number	:	781-291-3555
Fax Number	:	781-575-0404

Provider Business Practice Location Address
First Line	:	793 WASHINGTON ST
Second Line	:
City	:	CANTON
State	:	MA
Zip	:	02021-3023
Country	:	US
Telephone Number	:	781-291-3555
Fax Number	:	781-575-0404

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2009
Last Update Date	:	04/29/2025

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Directions to “ TRACEY ANN DAVEY LICSW” Practice Location

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