Provider Demographics
NPI:1538051859
Name:DAVIS, MOLLY ADELAIDE (MSS, LSW)
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:ADELAIDE
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MSS, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 MILLBROOK LN APT 1
Mailing Address - Street 2:
Mailing Address - City:HAVERFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19041-1234
Mailing Address - Country:US
Mailing Address - Phone:731-798-1320
Mailing Address - Fax:
Practice Address - Street 1:150 E SWEDESFORD RD STE 2A
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:PA
Practice Address - Zip Code:19087-1458
Practice Address - Country:US
Practice Address - Phone:484-787-3305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW141775104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker