Lakia Danae Wolfarth-Davis, AMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

106269 Issued in CA

Practice address

22320 Foothill Blvd Ste 400
Hayward, CA 94541

Phone

(510) 582-0148

NPI assigned

Jul 19, 2018

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

Other names 1

• Lakia Danae Davis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Family Paths, Inc.

  • Community/Behavioral Health Agency
  • Oakland, CA
  • NPI 1639389729
  NPD (past)
• Family Paths, Inc.

  • Community/Behavioral Health Agency
  • Hayward, CA
  • NPI 1730390527
  NPD (past)

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1598242885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22320 FOOTHILL BLVD STE 400",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945412719",
            "telephone_number": "510-582-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22320 FOOTHILL BLVD STE 400",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "94541",
            "telephone_number": "510-582-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFARTH-DAVIS",
        "first_name": "LAKIA",
        "middle_name": "DANAE",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "106269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAKIA",
            "last_name": "DAVIS",
            "middle_name": "DANAE",
            "credential": "AMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberly Wise, CATC
• Melissa Stebbins Witaschek, N.P.
• Luna Wolde
• Jordan Wolf
• Wendy Wolf
• Brian E Wolff, OD
• Lidia Krystyna Wolny, DC
• Benjamin Wolsztejn, M.D., F.A.C.O.G.
• Women on the Way Recovery Center
• Alysia Wong

• Marriage & Family Therapist in Hayward, CA
• Providers in Hayward, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.