National Provider Identifier
Shawn Lee Davis, LCSW
Shawn Lee Davis, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 734-2548.
Profile Overview
- NPI
- 1356090187
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- March 21, 2022
- Last Updated
- March 03, 2026
Practice Location
- 323 N Tioga St
- Ithaca, NY 14850-4205
Phone: (607) 734-2548
Mailing Address
- 33 Denison Pkwy W
- Corning, NY 14830-2613
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1356090187
- Entity Type
- Individual
- Last Name
- Davis
- First Name
- Shawn
- Middle Name
- Lee
- Credential
- LCSW
- Mailing Street Address
- 33 Denison Pkwy W
- Mailing City
- Corning
- Mailing State
- NY
- Mailing ZIP Code
- 14830-2613
- Mailing Country
- US
- Mailing Phone
- (607) 936-1771
- Practice Street Address
- 323 N Tioga St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-4205
- Practice Country
- US
- Practice Phone
- (607) 734-2548
- Practice Fax
- (607) 442-1209
- Enumeration Date
- March 21, 2022
- Last Updated
- March 03, 2026
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 03, 2026
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)