Sarah Louise Gossman Davis

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SC60938263 Issued in WA

Practice address

2100 Westlake Ave N Ste 201
Seattle, WA 98109-5802

Phone

(206) 858-1177

Fax

(206) 913-2369

NPI assigned

Jul 6, 2020

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

• Sarah Louise Gossman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 11, 2024 through Apr 11, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1679191761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 14TH AVE W APT 402",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981192065",
            "telephone_number": "425-223-7573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WESTLAKE AVE N STE 201",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981095802",
            "telephone_number": "206-858-1177",
            "fax_number": "206-913-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SARAH",
        "middle_name": "LOUISE GOSSMAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC60938263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "GOSSMAN",
            "middle_name": "LOUISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Richard E Davis, MD
• Riley Morgan Davis, M.S., CCC-SLP
• Ronnie Davis
• Sage Davis
• Samantha Davis, LMHC
• Savannah M Davis, LSWAIC, MSW
• Shaee D Davis, CNM
• Sheri Davis, LICSW
• Sofiya Davis, LMHC
• Stephanie Ann Davis, MSW

• Clinical Social Worker in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.