L. Jeannette Davis, D.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW 2585 Issued in CA

Practice address

1110 California Blvd
Suite a
San Luis Obispo, CA 93401-2949

Phone

(805) 546-2104

Fax

(805) 528-6994

NPI assigned

Apr 25, 2007

Last updated

Jan 23, 2010By 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

Other names 1

• Dr. L. Jeannette Davis Professional name

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": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264204800000",
    "number": "1932328903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 CALIFORNIA BLVD",
            "address_2": "SUITE A",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012949",
            "telephone_number": "805-546-2104",
            "fax_number": "805-528-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 CALIFORNIA BLVD",
            "address_2": "SUITE A",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012949",
            "telephone_number": "805-546-2104",
            "fax_number": "805-528-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "L. JEANNETTE",
        "name_prefix": "Dr.",
        "credential": "D.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2010-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW 2585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "L. JEANNETTE",
            "last_name": "DAVIS",
            "prefix": "DR.",
            "credential": "D.S.W.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Emily Rose Davenport
• Saul J David, M.D.
• Elana Davidson
• Carrie Adrian Davis
• Dave Davis
• Lauren Rena Davis
• Marianne G Davis, PHD
• Sammye Anne Davis, RN
• Brian Davison
• Julia Elizabeth Davison, PA-C

• Clinical Social Worker in San Luis Obispo, CA
• Providers in San Luis Obispo, 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 Jan 23, 2010; 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.