ETHAN DAVIS LCSW
NPI 1023462728
Social Worker - Clinical in Roseville, CA

Active since April 19, 2016
300 HARDING BLVD STE 108, ROSEVILLE, CA 95678(916) 741-0884 Get Directions Write a Review

NPPES record last updated: November 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethan Davis Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN DAVIS LCSW (NPI 1023462728) is an individual clinical provider in Roseville, California, licensed in California (102727) and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1023462728
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameETHAN DAVISCredential: LCSW
Location Address300 HARDING BLVD STE 108Roseville, CA 95678-2471
Mailing AddressPo Box 2201Rocklin, CA 95677-8201 · (916) 220-6784
Sole ProprietorYes
Enumeration DateApril 19, 2016
Last NPPES UpdateNovember 23, 2021
NPPES CertifiedNovember 23, 2021
NPI 1023462728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · 102727
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
300 HARDING BLVD STE 108, Roseville, CA 95678

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
300 HARDING BLVD STE 108
ROSEVILLE, CA 95678
Marriage & Family Therapist
300 HARDING BLVD STE 108
ROSEVILLE, CA 95678
Marriage & Family Therapist
300 HARDING BLVD STE 108
ROSEVILLE, CA 95678

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Davis's NPI number?

The NPI number for Ethan Davis is 1023462728. It was assigned to this individual provider in the NPPES registry on April 19, 2016.

Where is Ethan Davis located?

Ethan Davis practices at 300 Harding Blvd Ste 108, Roseville, CA 95678. The listed phone number is (916) 741-0884.

What is Ethan Davis's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Ethan Davis was last updated on November 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.