Individual provider · Type 1 NPI

Ethan Davis, LCSW

Clinical Social Worker · Roseville, CA

NPI number 1023462728 Active

Practice location

300 Harding Blvd Ste 108
Roseville, CA 95678-2471

Mailing address

PO Box 2201
Rocklin, CA 95677-8201

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X102727 (CA)
Mental Health Counselor 101YM0800XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

3 other providers at this address

Other clinical social worker providers in Roseville

See all in Roseville →

About NPI 1023462728

Ethan Davis, LCSW's National Provider Identifier is 1023462728, issued on Apr 19, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Roseville, CA. The record was last updated on Nov 23, 2021.