Kathleen Ruth Davis
NPI 1093469025ActiveIndividual· Social Worker, Clinical· Port Angeles, WA
Social Worker, Clinical with Peninsula Behavioral Health, practicing in Port Angeles, Washington. Enrolled in Medicare as practitioner - clinical social worker. A record with the same name and state is on the OIG exclusion list; it carries no NPI, so check it before acting.
Overview
| NPI | 1093469025 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Feb 8, 2022 |
| Last updated in NPPES | Dec 19, 2024 |
| Certified by provider | Dec 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | LW61546770 | WA |
Exclusion screening
Possible match: verify before acting. The OIG list has a record with the same name in Washington, but that record carries no NPI, so it may be a different person or business.
| Matched by | Name on OIG list | Exclusion type | Excluded since | Location |
|---|---|---|---|---|
| Name + state | Kathleen A. Davis · Personal Care Provid | 1128a1 | Apr 20, 2015 | Lakewood, WA |
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | Possible (name) | See above |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (WA) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Peninsula Behavioral HealthPort Angeles, WA · 20 clinicians
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