Tanaeyah Olivia Davis, is a
Social Worker - Clinical based in Lynwood, California. Tanaeyah Olivia Davis is licensed to practice in California (license number 99358) and her current practice location is
2610 Industry Way, Lynwood, California. She can be reached at her office (for appointments etc.) via phone at
(310) 631-8004.
NPI number for Tanaeyah Olivia Davis is 1326699224 and her current mailing address is 2610 Industry Way, Lynwood, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326699224.
Healthcare Provider's Profile
| Full Name | Tanaeyah Olivia Davis |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 2610 Industry Way, Lynwood, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1326699224
- Provider Enumeration Date: 09/23/2019
- Last Update Date: 08/08/2023
Medical Identifiers
Medical identifiers for Tanaeyah Olivia Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326699224 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 99358 (Georgia) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 99358 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tanaeyah Olivia Davis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tanaeyah Olivia Davis,
2610 Industry Way,
Lynwood, CA 90262-4283
Ph: () - | Tanaeyah Olivia Davis,
2610 Industry Way,
Lynwood, CA 90262-4283
Ph: (310) 631-8004 |
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