Tracy L Davis is a Clinical in Berkeley, California. Tracy L Davis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tracy L Davis is 1326228586. The last update date is 2016-10-19.
Tracy L Davis's current location address is 1918 Bonita Ave, Berkeley, California. You can contact this provider via phone number 5103814191. The mailing address for Tracy L Davis is 1918 Bonita Ave, Berkeley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy L Davis |
|---|---|
| Address | 1918 Bonita Ave, Berkeley, California |
| Phone Number | 5103814191 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1326228586 |
|---|---|
| Provider Enumeration Date | 2007-11-05 |
| Last Updated Date | 2016-10-19 |
Provider Mailing Address Detail
| Address | 1918 Bonita Ave |
|---|---|
| City | Berkeley |
| State | California (CA) |
| Post Code | 947041014 |
| Phone Number | 5103814191 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 27895 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Tracy L Davis?
The Tracy L Davis has been issued the NPI (National Provider Identifier) 1326228586 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Tracy L Davis?
The Tracy L Davis is situated at 1918 Bonita Ave, in the city of Berkeley, state of CA, with the zip code 947041014.
What is Tracy L Davis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Tracy L Davis's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date was the 1326228586 assigned to Tracy L Davis?
The Tracy L Davis was issued its 1326228586 on 2007-11-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Tracy L Davis's details last updated?
The information pertaining to the Tracy L Davis, including its address, specialty, and other details, was most recently updated on 2016-10-19.