SearchMinnesota101YM0800X

Nicole Davis, MSW, LICSW, LADC

NPI 1457846313 · on the registry since 2018 · sole proprietor

Practice

Address
940 Hastings Ave
St Paul Park, MN 55071
Phone
(651) 354-0430
Organisation at this address
Evident Transport Llc
Evident Social Services Llc
Evident Healthcare Management Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101YA0400X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-10-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota