Ethan Davis, LCSW - Clinical Social Worker in Roseville, CA

Ethan Davis, LCSW is a Social Worker - Clinical based in Roseville, California. Ethan Davis is licensed to practice in California (license number 102727) and his current practice location is 300 Harding Blvd Ste 108, Roseville, California. He can be reached at his office (for appointments etc.) via phone at (916) 741-0884.

NPI number for Ethan Davis is 1023462728 and his current mailing address is Po Box 2201, Rocklin, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023462728.

Contact Information

Ethan Davis, LCSW
300 Harding Blvd Ste 108,
Roseville, CA 95678-2471
(916) 741-0884
Not Available



Healthcare Provider's Profile

Full NameEthan Davis
GenderMale
SpecialitySocial Worker - Clinical
Location300 Harding Blvd Ste 108, Roseville, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1023462728
  • Provider Enumeration Date: 04/19/2016
  • Last Update Date: 11/23/2021

Medical Identifiers

Medical identifiers for Ethan Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023462728NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 102727 (California)Primary
101YM0800XCounselor - Mental Health (* (Not Available))Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ethan Davis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ethan Davis, LCSW
Po Box 2201,
Rocklin, CA 95677-8201

Ph: (916) 220-6784
Ethan Davis, LCSW
300 Harding Blvd Ste 108,
Roseville, CA 95678-2471

Ph: (916) 741-0884

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› Verified 5 days ago


Social Worker in Roseville, CA

Mrs. Kaitlyn W Brown, MSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1430 Blue Oaks Blvd Ste 120, Roseville, CA 95747
Phone: 916-822-9892    
Ms. Patience Tsuruko Taba, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 775 Sunrise Ave Ste 120, Roseville, CA 95661
Phone: 916-600-2838    Fax: 916-773-0965
Suzanne Garafolo,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 333 Sunrise Ave Ste 701, Roseville, CA 95661
Phone: 916-783-5207    
Catherine Matthews, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1780 Vernon St Ste 1, Roseville, CA 95678
Phone: 916-782-1111    Fax: 916-782-4544
Ms. Linda Lorraine Meyers, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 3 Medical Plaza Dr, Suite 200, Roseville, CA 95661
Phone: 530-478-1273    
Mrs. Camille Lynne Danos, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 1600 E Roseville Parkway, Roseville, CA 95661
Phone: 916-973-5300    

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