Provider Demographics
NPI:1972735926
Name:DAVEY, TRACEY ANN (LICSW)
Entity type:Individual
Prefix:
First Name:TRACEY
Middle Name:ANN
Last Name:DAVEY
Suffix:
Gender:
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:793 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MA
Mailing Address - Zip Code:02021-3023
Mailing Address - Country:US
Mailing Address - Phone:781-291-3555
Mailing Address - Fax:781-575-0404
Practice Address - Street 1:793 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MA
Practice Address - Zip Code:02021-3023
Practice Address - Country:US
Practice Address - Phone:781-291-3555
Practice Address - Fax:781-575-0404
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-10
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1166351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical