Active NPI
Quentisha Lashane Davis, ACSW
- Mental Health Counselor
- Concord, CA
National Provider Identifier
1487820452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 75465
- Practice address
- 1848 Willow Pass Rd Ste 207
Concord, CA 94520-2542 - Phone
- (916) 362-8292
- NPI assigned
- Apr 30, 2008
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 75465 | CA | |
| Clinical Social Worker | 1041C0700X | 75465 | CA | |
| Clinical Social Worker | 1041C0700X | 16883 | CA | |
| Counselor | 101Y00000X | 75465 | CA | |
| Clinical Social Worker | 1041C0700X | 28438 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 75465 | CA | |
| Mental Health Counselor | 101YM0800X | 75465 | CA | Primary |
Addresses
Primary practice location
1848 Willow Pass Rd Ste 207
Concord, CA 94520-2542
Mailing address
3345 Crestview Dr
Pittsburg, CA 94565-4805
Phone (510) 978-3596
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 |
|---|---|---|---|
| 16883 | CA | MD | Mental Health Counselor |
| 28438 | CA | MD | Clinical Social Worker |
| 75465 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612137600000",
"number": "1487820452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3345 CRESTVIEW DR",
"city": "PITTSBURG",
"state": "CA",
"postal_code": "945654805",
"telephone_number": "510-978-3596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1848 WILLOW PASS RD STE 207",
"city": "CONCORD",
"state": "CA",
"postal_code": "945202542",
"telephone_number": "916-362-8292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "QUENTISHA",
"middle_name": "LASHANE",
"name_prefix": "Ms.",
"credential": "ACSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-30",
"last_updated": "2021-02-01",
"certification_date": "2021-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "75465",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "75465",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "16883",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "75465",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "28438",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "75465",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "75465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.