Brenda Davis is a Clinical in Crescent City, California. Brenda Davis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Brenda Davis is 1700939949. The last update date is 2007-07-08.
Brenda Davis's current location address is 1301-b Northcrest, Crescent City, California. You can contact this provider via phone number 7074644349. The mailing address for Brenda Davis is 1301-b Northcrest, Crescent City, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brenda Davis |
|---|---|
| Address | 1301-b Northcrest, Crescent City, California |
| Phone Number | 7074644349 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1700939949 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1301-b Northcrest |
|---|---|
| City | Crescent City |
| State | California (CA) |
| Post Code | 95531 |
| Phone Number | 7074644349 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 17362 |
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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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What is the unique 10-digit identification code issued to Brenda Davis by the Centers for Medicare & Medicaid Services?
The Brenda Davis has been assigned the NPI (National Provider Identifier) 1700939949 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Brenda Davis?
The Brenda Davis is situated at 1301-B Northcrest, in the city of Crescent City, state of CA, with the zip code 95531.
What is the Brenda Davis's area of specialization and corresponding taxonomy classification?
The Brenda Davis's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1700939949 to Brenda Davis?
The Centers for Medicare & Medicaid Services assigned the 1700939949 to Brenda Davis on 2007-01-19.
When was the information regarding Brenda Davis most recently updated?
The details pertaining to the Brenda Davis, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.