Individual provider · Type 1 NPI

Tanaeyah Olivia Davis

Clinical Social Worker · Los Angeles, CA

NPI number 1326699224 Active

Practice location

3850 Crenshaw Blvd
Los Angeles, CA 90008-1821

Mailing address

2610 Industry Way
Lynwood, CA 90262-4283

Other practice locations

  • 2610 Industry Way, Lynwood, CA 90262-4283 · (310) 631-8004
  • 1030 Fayetteville Rd SE, Atlanta, GA 30316 · (404) 486-9034
  • 6762 Lexington Ave, Los Angeles, CA 90038-1217 · (323) 380-7590

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X137818 (CA)
Social Worker 104100000XNone listed
Mental Health Counselor 101YM0800X99358 (GA)
Clinical Social Worker 1041C0700X99358 (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 1326699224

Tanaeyah Olivia Davis's National Provider Identifier is 1326699224, issued on Sep 23, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 3, 2026.