Alex Davidson
Individual provider Active NPI Case Manager/Care Coordinator · Colusa, CA
NPI 1346774635 · NPPES record last updated Dec 7, 2021
Key facts
- NPI
- 1346774635
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 162 E Carson St
Colusa, CA 95932-2880 - Phone
- (530) 473-9215
- NPI assigned
- Apr 13, 2017
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | |||
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
162 E Carson St
Colusa, CA 95932-2880
Mailing address
162 E Carson St
Colusa, CA 95932-2880
Phone (530) 473-9215
Other providers in Colusa, CA
- County of Colusa
- Abraham Covarrubias Lozano
- Margaret Ann Crahan
- Ashley Cresap
- Diane Ellyn Damron
- Donna Marie Davis-Deabel
- Amanda Fern Davis
- Elyse Davis
- Davison Drug & Stationery
- Franklin Petesch Davison
All providers in Colusa, CA · Case Manager/Care Coordinator in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.