Maria Guadalupe Davis, MSW, ACSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

ASW85496 Issued in CA

Practice address

1616 W Shaw Ave Ste B2
Fresno, CA 93711-3513

Phone

(559) 293-3174

NPI assigned

Nov 18, 2020

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

• Maria Guadalupe Aguilar Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Impact Behavioral Health and Recovery Care Corp

  • Clinical Social Worker
  • Fresno, CA
  • NPI 1043890122
  NPD

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1982207262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 W SHAW AVE STE B2",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 W SHAW AVE STE B2",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113513",
            "telephone_number": "559-293-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MARIA",
        "middle_name": "GUADALUPE",
        "credential": "MSW, ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-18",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW85496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "AGUILAR",
            "middle_name": "GUADALUPE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Keegan Patrick Davis
• Kentravis Davis
• Lauren Ashley Davis
• Lealani Naomi Davis
• Macy Davis
• Marie Davis
• Mark Leonard Davis, DDS
• Michelle Suzanne Davis
• Monica Davis, RN, FNP-C
• Paige Davis

• Social Worker in Fresno, CA
• Providers in Fresno, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.