Dawn Marie Davolt, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW78706 Issued in CA

Practice address

5541 Laurel Canyon Blvd Apt 46
Valley Village, CA 91607-2134

Phone

(562) 857-7404

NPI assigned

Jun 28, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1891992350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5541 LAUREL CANYON BLVD APT 46",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916072134",
            "telephone_number": "562-857-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5541 LAUREL CANYON BLVD APT 46",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916072134",
            "telephone_number": "562-857-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVOLT",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW78706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "78706",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACSW",
            "identifier": "ASW63818",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crichton'S Love
• Crown Hospice, Inc.
• Dan Dardashti, MD Inc.
• Matthew Daniel, DPM
• Dan E Dardashti, M.D.
• Jila Dayani, MD
• Joann De Virgilio
• Logan Olivia Decoursey
• Mark W Deering, D.D.S.
• Elizabeth Deitz

• Clinical Social Worker in Valley Village, CA
• Providers in Valley Village, 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 Aug 26, 2020; 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.