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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ETHAN DAVIS, LCSW

Active Sole Proprietor

ETHAN DAVIS, LCSW is a Clinical Social Worker healthcare provider located in ROSEVILLE, California. NPI 1023462728 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · ROSEVILLE, CA

Registration Details

NPI Number
1023462728
Provider Type
Individual
Gender
Male
NPI Issued
Apr 19, 2016 (10.30759130862 yrs)
Last Updated
Nov 23, 2021
License
102727 (CA)
Sole Proprietor
Yes

Practice Information

Address
300 HARDING BLVD STE 108
ROSEVILLE, CA, 956782471
Browse CA providers · Browse ZIP 95678
Phone
9167410884
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Mental Health Counselor

Other Clinical Social Worker Providers in ROSEVILLE, CA

Name Credential NPI
DEBORAH ANN LESSMAN-KEANE LCSW 1649222951
DENISE GILPATRIC LCSW 1073548871
MS. JOY COPELAND LINEBACK LCSW 1558388496
MRS. SUSAN G BILUNOS MSW 1609886597
MS. MAEVE D. HASSETT MSW 1962500314
MS. MARILYN C YEATES 1053481283
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.