Shanic Laurell Davidson, ASW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ASW128147 Issued in CA

Practice address

5445 Laurel Hills Dr
Sacramento, CA 95841-3105

Phone

(916) 710-5890

NPI assigned

Feb 4, 2025

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1134933732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6061",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937036061",
            "telephone_number": "916-759-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 LAUREL HILLS DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958413105",
            "telephone_number": "916-710-5890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8421 Auburn Blvd # 162",
            "address_purpose": "LOCATION",
            "city": "Citrus Heights",
            "state": "CA",
            "postal_code": "956100359",
            "country_code": "US",
            "telephone_number": "916-759-1293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "SHANIC",
        "middle_name": "LAURELL",
        "credential": "ASW",
        "sole_proprietor": "NO",
        "sex": "U",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW128147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Star Davidson
• Jonathan Sam Davidson, M.D.
• Loren T Davidson, M.D.
• Melissa Davidson X
• Nabil B Davidson
• Stacy Davidson, CPNP-AC
• Terry Allen Davidson
• Velma Jean Davidson, LCSW
• Tyree Ozell Davie, MD
• Illesha Davies

• Clinical Social Worker in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.