TYNISHA WHITE-DAVIES
NPI 1578089199
Social Worker - Clinical in Los Angeles, CA

Q: What is Tynisha White-davies's NPI number?

The NPI number for Tynisha White-davies is 1578089199. It was assigned to this individual provider in the NPPES registry on August 15, 2017.

Q: What is Tynisha White-davies's specialty?

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

Active since August 15, 2017PECOS EnrolledAccepts Medicare Assignment

1720 E 120TH ST, LOS ANGELES, CA 90059(323) 298-6180 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 5, 2023, Jun 22, 2023, Jul 21, 2022 and 4 more (7 updates tracked since 2017).

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About Tynisha White-davies NPPES

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

TYNISHA WHITE-DAVIES (NPI 1578089199) is an individual clinical provider in Los Angeles, California, licensed in California (89886) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1578089199

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameTYNISHA WHITE-DAVIES

Location Address1720 E 120TH STLos Angeles, CA 90059-3052

Mailing Address1720 E 120th StLos Angeles, CA 90059-3052 · (323) 298-3680 · Fax (213) 241-3305

Phone(323) 298-6180

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateAugust 15, 2017

Last NPPES UpdateJuly 5, 20237 updates tracked since enumeration

NPPES CertifiedJuly 5, 2023

✔ NPI 1578089199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · 89886

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 · License 89886 (CA)

Also ListedRehabilitation PractitionerTaxonomy 225400000X

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1720 E 120TH ST, Los Angeles, CA 90059

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Secondary Practice Locations 2

Location 1333 S Beaudry AveLos Angeles, CA 90017 · Phone (213) 241-3841 · Fax (213) 241-3305

Location 26055 E Washington Blvd Ste 900Commerce, CA 90040-2453 · Phone (323) 346-0960 ext. 210 · Fax (323) 346-0966

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tynisha White-davies is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254847577

PECOS Enrollment IDI20250723000467

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90059 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $62.96 – $187.60

Typical copayment $0.00 (range $15.74 – $46.90)

Most-billed visit code NA

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

LUCY S VILLEGAS

Social Worker (Clinical)