Individual provider · Type 1 NPI

Stacy Lynn Davenport, L.C.S.W.

Clinical Social Worker · La Mesa, CA

NPI number 1275628893 Active

Practice location

500 Olive St
La Mesa, CA 95901

Fax (619) 825-8747

Mailing address

8030 La Mesa Blvd # 211
La Mesa, CA 91942-0335

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XLCS 23732 (CA)
Clinical Social Worker Primary 1041C0700XLCS 23732 (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 1275628893

Stacy Lynn Davenport, L.C.S.W.'s National Provider Identifier is 1275628893, issued on Oct 3, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in La Mesa, CA. The record was last updated on Nov 4, 2020.