Active NPI
Scott Davis
- Clinical Social Worker
- San Jose, CA
National Provider Identifier
1649772047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW87878
- Practice address
- 232 E Gish Rd
San Jose, CA 95112-4706 - Phone
- (408) 453-7616
- NPI assigned
- Mar 2, 2018
- Last updated
- Sep 6, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW87878 | CA | Primary |
Addresses
Primary practice location
232 E Gish Rd
San Jose, CA 95112-4706
Mailing address
232 E Gish Rd
San Jose, CA 95112-4706
Other practice location 1
39420 Liberty St Ste 252A
Fremont, CA 94538-2297
Phone (510) 698-2896
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LCSW87878 | Other | CA | CALIFORNIA BOARD OF BEHAVIORAL SCIENCES |
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 |
|---|---|---|---|
| LCSW87878 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Gatos Therapy Center | Past | Accepting new patients | |
| WK Medical Group | Clinical | Past | Accepting new patients |
| LGTC Inc | Past | Accepting new patients | |
| LGTC Group | Clinical | Past | Accepting new patients |
Organizations & group practices 4
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 LGTC Group
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1518600972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788652800000",
"number": "1649772047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 E GISH RD",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951124706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 E GISH RD",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951124706",
"telephone_number": "408-453-7616"
}
],
"practiceLocations": [
{
"address_1": "39420 Liberty St Ste 252A",
"address_purpose": "LOCATION",
"city": "Fremont",
"state": "CA",
"postal_code": "945382297",
"country_code": "US",
"telephone_number": "510-698-2896",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "SCOTT",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-02",
"last_updated": "2026-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW87878",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA BOARD OF BEHAVIORAL SCIENCES",
"identifier": "LCSW87878",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.