Active NPI
Kimberley Noelle Davis, LCSW
- Social Worker
- Yuba City, CA
National Provider Identifier
1326487968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 32215
- Practice address
- 481 Plumas Blvd Ste 202
Yuba City, CA 95991-5075 - Phone
- (530) 749-2409
- Fax
- (530) 751-4793
- NPI assigned
- Jun 17, 2013
- Last updated
- May 29, 2020
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 32215 | CA | Primary |
Addresses
Primary practice location
481 Plumas Blvd Ste 202
Yuba City, CA 95991-5075
Mailing address
103 D St
Marysville, CA 95901-6017
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32215 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590710400000",
"number": "1326487968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 D ST",
"city": "MARYSVILLE",
"state": "CA",
"postal_code": "959016017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "481 PLUMAS BLVD STE 202",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "959915075",
"telephone_number": "530-749-2409",
"fax_number": "530-751-4793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "KIMBERLEY",
"middle_name": "NOELLE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-17",
"last_updated": "2020-05-29",
"certification_date": "2020-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "32215",
"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 May 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.