Ethan Davis, LCSW - Counselor in Roseville, CA

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Ethan Davis, LCSW is a Social Worker - Clinical based in Roseville, California. Ethan Davis is licensed to practice in California (license number 102727) and his current practice location is 300 Harding Blvd Ste 108, Roseville, California. He can be reached at his office (for appointments etc.) via phone at (916) 741-0884.

NPI number for Ethan Davis is 1023462728 and his current mailing address is Po Box 2201, Rocklin, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023462728.

Contact Information

Ethan Davis, LCSW
300 Harding Blvd Ste 108,
Roseville, CA 95678-2471
(916) 741-0884
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameEthan Davis
GenderMale
SpecialitySocial Worker - Clinical
Location300 Harding Blvd Ste 108, Roseville, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1023462728
  • Provider Enumeration Date: 04/19/2016
  • Last Update Date: 11/23/2021

Medical Identifiers

Medical identifiers for Ethan Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023462728NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (NU)Secondary
1041C0700XSocial Worker - Clinical 102727 (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. Ethan 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 AddressPractice Location Address
Ethan Davis, LCSW
Po Box 2201,
Rocklin, CA 95677-8201

Ph: (916) 220-6784		Ethan Davis, LCSW
300 Harding Blvd Ste 108,
Roseville, CA 95678-2471

Ph: (916) 741-0884

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.