Davi Ellen Gendel, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 22913 Issued in CA

Practice address

505 Lupine Way
Oceanside, CA 92057-8551

Phone

(858) 753-9281

NPI assigned

Sep 22, 2006

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2002

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rady Children'S Outpatient Psychaitry

  • Psychiatric Hospital
  • Oceanside, CA
  • NPI 1023195070
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1437259256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3142 VISTA WAY STE 205",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920563628",
            "telephone_number": "760-758-1480",
            "fax_number": "760-435-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 LUPINE WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920578551",
            "telephone_number": "858-753-9281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENDEL",
        "first_name": "DAVI",
        "middle_name": "ELLEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 22913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Thomas Geer
• Jeffrey D Geiger, RPH
• Joseph Edward Geletko, APCC
• Brendon Leif Gelford
• Jaclyn Gell, DO
• Jordan Gendelman
• Judith Generoso, D.O.
• Eraiza Amethyst Genilo
• Genoa Healthcare LLC
• Kelly Kathleen Genovese, NP,RN

• Clinical Social Worker in Oceanside, CA
• Providers in Oceanside, 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 Sep 22, 2022; 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.

Verify at the official NPI Registry.