Individual provider Active NPI

Davida Shreiber, LCSW

  • Clinical Social Worker
  • Encinitas, CA
National Provider Identifier
1962806497
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
29310 Issued in CA
Practice address
270 N El Camino Real # F152
Encinitas, CA 92024-2874
Phone
(760) 519-7116
NPI assigned
Oct 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 29310 CA Primary

Addresses

Primary practice location

270 N El Camino Real # F152
Encinitas, CA 92024-2874

Mailing address

PO Box 230692
Encinitas, CA 92023-0692
Phone (760) 519-7116

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150401001437 CA Practitioner - Clinical Social Worker 9537486527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Encinitas, CA 92024
Phone (760) 519-7116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29310CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Davida Shreiber Licensed Clinical Social Worker Inc Clinical CurrentSince Sep 22, 2016 Accepting new patients
Good Therapy San Diego Clinical PastSince Mar 17, 2015 Accepting new patients

Locations

700 Garden View Ct
Ste 201G
Encinitas, CA 92024
Phone (760) 519-7116

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1962806497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 230692",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920230692",
            "telephone_number": "760-519-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 N EL CAMINO REAL # F152",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242874",
            "telephone_number": "760-519-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHREIBER",
        "first_name": "DAVIDA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-13",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "29310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.