Active NPI
Kendra Davis, LCS24637
- Clinical Social Worker
- Yuba City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS24637
- Practice address
- 1007 Live Oak Blvd Ste B-1
Yuba City, CA 95991-3454 - Phone
- (530) 632-7894
- NPI assigned
- Apr 4, 2016
- Last updated
- Nov 30, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS24637 | CA | Primary |
Addresses
Primary practice location
1007 Live Oak Blvd Ste B-1
Yuba City, CA 95991-3454
Mailing address
3115 Stonegate Dr
Yuba City, CA 95993-8815
Phone (530) 632-7894
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2000
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1445 Butte House Rd
Yuba City, CA 95993-2749
Phone (530) 632-7894
3115 Stonegate Dr
Yuba City, CA 95993-8815
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS24637 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blossom Ridge Medical, Inc. | Current | Accepting new patients | |
| Jasbir S Kang MD & Sanjiv Midha MD a Medical Corporation | Current | Accepting new patients | |
| North Valley Nephrology Inc | Current | Accepting new patients | |
| Kesav Health and Wellness Licensed Clinical Social Worker PC | Clinical | Current | Accepting new patients |
Locations
527 E St
Marysville, CA 95901
Phone (530) 743-5300
2554 Millcreek Dr
Sacramento, CA 95833
Phone (800) 991-6147
1525 Plumas Ct
Ste B
Yuba City, CA 95991
Phone (530) 671-4980
1215 Plumas St
Ste 1900
Yuba City, CA 95991
Phone (530) 674-2100
1007 Live Oak Blvd
Ste B1
Yuba City, CA 95991
Phone (530) 632-7894
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Yuba City, CA
- NPI 1770002503
-
- Community Health Clinic/Center
- Sacramento, CA
- NPI 1679117972
-
dba Marysville Clinic
- Internal Medicine Physician
- Marysville, CA
- NPI 1730497421
-
- Clinical Social Worker
- Yuba City, CA
- NPI 1548086085
-
- Nephrology Physician
- Yuba City, CA
- NPI 1861567380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732924800000",
"number": "1255794467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3115 STONEGATE DR",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "959938815",
"telephone_number": "530-632-7894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 LIVE OAK BLVD STE B-1",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "959913454",
"telephone_number": "530-632-7894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "KENDRA",
"credential": "LCS24637",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-04",
"last_updated": "2024-11-30",
"certification_date": "2024-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS24637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yuba City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.