Individual provider · Type 1 NPI

Carla Marie Davidson, LCSW

Clinical Social Worker · Rancho Cucamonga, CA

NPI number 1114977121 Active

Practice location

8253 White Oak Ave
Rancho Cucamonga, CA 91730-7671

Fax (909) 987-0993

Mailing address

1249 W 14th St
Upland, CA 91786-2518

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X20719 (CA)

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…

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About NPI 1114977121

Carla Marie Davidson, LCSW's National Provider Identifier is 1114977121, issued on May 11, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on Jul 13, 2026.