Diane Burke Davis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS22528 Issued in CA

Practice address

5910 Clark Rd
Suite G
Paradise, CA 95969-4856

Phone

(530) 872-7939

NPI assigned

Jul 18, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County of Butte

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Paradise, CA
  • NPI 1174161343
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861411332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5910 CLARK RD",
            "address_2": "SUITE G",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959694856",
            "telephone_number": "530-872-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 CLARK RD",
            "address_2": "SUITE G",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959694856",
            "telephone_number": "530-872-7939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DIANE",
        "middle_name": "BURKE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS22528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David J Gajda MD a Professional Corporation (Eye Life Institute)
• David J Gajda, MD, a Professional Corporation (Eye Life Institue ASC)
• David J Gajda, MD, a Professional Corporation
• David W. Gillett D.M.D., Inc.
• Richard Leslie Davies, M.D.
• Richard Michael Day, LCSW
• Etresia Francisca De Bruin
• Xochitl Lenz De la Cruz, PA
• Heather Deberry
• Richard P. Defrancisci, M.D.

• Clinical Social Worker in Paradise, CA
• Providers in Paradise, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.