Active NPI
Elizabeth Davis, LCSW
- Clinical Social Worker
- Tustin, CA
National Provider Identifier
1427471804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 96893
- Practice address
- 18302 Irvine Blvd Ste 300
Tustin, CA 92780-3437 - Phone
- (714) 371-7997
- NPI assigned
- Jan 21, 2014
- Last updated
- May 17, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | 96893 | CA | Primary |
Addresses
Primary practice location
18302 Irvine Blvd Ste 300
Tustin, CA 92780-3437
Mailing address
18302 Irvine Blvd Ste 300
Tustin, CA 92780-3437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 96893 | Other | CA | LCSW |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 96893 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Mental Health | Current | Accepting new patients |
| Becoming Wellness Center LLC | Clinical | Current | Accepting new patients |
| Davis Licensed Clinical Social Worker Therapy and Honey Professional C | Clinical | Current | Accepting new patients |
Interoperability endpoints
- elizabethdavis@tdh.allscriptsdirect.net
Organizations & group practices 3
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.
-
dba Therapy and Honey
- Clinical Social Worker
- Orange, CA
- NPI 1942959663
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Santa Ana, CA
- NPI 1760056477
Clinical
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621209600000",
"number": "1427471804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18302 IRVINE BLVD STE 300",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927803437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18302 IRVINE BLVD STE 300",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927803437",
"telephone_number": "714-371-7997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ELIZABETH",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-21",
"last_updated": "2021-05-17",
"certification_date": "2021-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "96893",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "96893",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tustin, CA
- Kavita Davenport, CRNA
- David a. Meloni D.D.S. Professional Corp.
- Davin Li Dental Corp
- Carol L Davis
- Denise Evelyn Davis, MFT
- Kimberly Davis
- Dawn M. Terashita, PC (Passport Health)
- Dawn Thanh Vu, OD, an Optometric Professional Corporation (Angeles Optometric Center)
- David William Day, LMFT
- Liliana Day
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.