Diane Marie Taron Davis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS16929 Issued in CA

Practice address

1 St Johns Mine Road
Vallejo, CA 94591

Phone

(707) 644-4099

NPI assigned

Jun 6, 2008

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212710400000",
    "number": "1861651556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 BAYVIEW AVE",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945903546",
            "telephone_number": "707-648-9693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ST JOHNS MINE ROAD",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "94591",
            "telephone_number": "707-644-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARON DAVIS",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS16929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Tang, PHARM D.
• Jessica Marie Tanner
• Todd Manning Tanner, MSPT
• Carlo D. Tarantino, MD
• Timothy H Tarbill
• Linda W Tate, PSC II
• Stephen Asiain Tatom, CNOR, RNFA
• Jeremy Taubman, L.C.S.W.
• Hassan Tausif, MD
• Robin Taylor-Boyd, RN

• Clinical Social Worker in Vallejo, CA
• Providers in Vallejo, 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 Jun 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.