Active NPI
Samantha Louise Davis, RADTI
- Social Worker
- Victorville, CA
National Provider Identifier
1710645809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ASW137442
- Practice address
- 16248 Victor St
Victorville, CA 92395-3934 - Phone
- (760) 243-7151
- NPI assigned
- Dec 6, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | ASW137442 | CA | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | B00003681024 | CA |
Addresses
Primary practice location
16248 Victor St
Victorville, CA 92395-3934
Mailing address
16248 Victor St
Victorville, CA 92395-3934
Phone (760) 243-7151
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | sud | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| B00003681024 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| ASW137442 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773705600000",
"number": "1710645809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16248 VICTOR ST",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923953934",
"telephone_number": "760-243-7151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16248 VICTOR ST",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923953934",
"telephone_number": "760-243-7151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "SAMANTHA",
"middle_name": "LOUISE",
"credential": "RADTI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-06",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW137442",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "B00003681024",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "sud",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "16248 Victor St",
"city": "Victorville",
"state": "CA",
"country_code": "US",
"postal_code": "923953934",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.