JANE DAVIS LISENCED CLINICAL SOCIAL WORKER PROFESSIONAL PSYCHOTHERAPY
NPI 1679236947
Clinic/Center - Mental Health (Including Community Mental Health Center) in San Pedro, CA

Active since October 14, 2021
732 W 9TH ST, SAN PEDRO, CA 90731(213) 915-4024 Get Directions Write a Review

NPPES record last updated: October 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jane Davis Lisenced Clinical Social Worker Professional Psychotherapy NPPES

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

JANE DAVIS LISENCED CLINICAL SOCIAL WORKER PROFESSIONAL PSYCHOTHERAPY (NPI 1679236947) is a healthcare organization registered as a mental health (including community mental health center) in San Pedro, California and active in the NPI registry since October 2021. The organization lists Jane Christine Graham Davis, President, as its authorized official.

NPPES Registry Identity

NPI1679236947
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameJANE DAVIS LISENCED CLINICAL SOCIAL WORKER PROFESSIONAL PSYCHOTHERAPY
Location Address732 W 9TH STSan Pedro, CA 90731-3634
Mailing Address1732 Aviation Blvd # 122Redondo Beach, CA 90278-2810 · (213) 915-4024
Organization SubpartNo
Authorized OfficialJane Christine Graham DavisPresident · (213) 915-4024
Enumeration DateOctober 14, 2021
NPPES CertifiedOctober 13, 2021
NPI 1679236947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
732 W 9TH ST, San Pedro, CA 90731

Other Providers at the Same Location NPPES 4

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

Marriage & Family Therapist
732 W 9TH ST
SAN PEDRO, CA 90731
Marriage & Family Therapist
732 W 9TH ST, SUITE 202
SAN PEDRO, CA 90731
Marriage & Family Therapist
732 W 9TH ST, SUITE 201
SAN PEDRO, CA 90731
Internal Medicine
732 W 9TH ST, SUITE 205
SAN PEDRO, CA 90731

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 Jane Davis Lisenced Clinical Social Worker Professional Psychotherapy's NPI number?

The NPI number for Jane Davis Lisenced Clinical Social Worker Professional Psychotherapy is 1679236947. It was assigned to this organization in the NPPES registry on October 14, 2021.

Where is Jane Davis Lisenced Clinical Social Worker Professional Psychotherapy located?

Jane Davis Lisenced Clinical Social Worker Professional Psychotherapy is located at 732 W 9th St, San Pedro, CA 90731. The listed phone number is (213) 915-4024.

What is Jane Davis Lisenced Clinical Social Worker Professional Psychotherapy's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Jane Davis Lisenced Clinical Social Worker Professional Psychotherapy was last updated on October 14, 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.