Evonne E David, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS19471 Issued in CA

Practice address

851 Fremont Ave Ste 107
Los Altos, CA 94024-5602

Phone

(650) 268-9774

NPI assigned

May 10, 2011

Sex

Female

Sole proprietor

Yes

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

Opted out of Medicare

Yes, effective Apr 1, 2024 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Evonne E. David

  • Clinical Social Worker
  • Los Altos, CA
  • NPI 1407554751
  NPD Authorized official

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1427340314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 539",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940260539",
            "telephone_number": "650-268-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 FREMONT AVE STE 107",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940245602",
            "telephone_number": "650-268-9774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "EVONNE",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-10",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS19471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Dabb, D.C.
• Darin Conway, LCSW
• Romina Davarpanah
• David F. Chang MD Inc (Altos Eye Physicians)
• David R. Boschken, D.M.D. Inc (Los Altos Orthodontics)
• Dean T Clark MD Inc
• Arthur Angelo Dela Cruz
• Anne Deluca, FNP-C
• Den Medical Group, Inc.
• Jacqueline Denkabe, MD

• Clinical Social Worker in Los Altos, CA
• Providers in Los Altos, 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 Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.