Tynisha White-davies, is a medicare enrolled "Social Worker - Clinical" provider in Los Angeles, California. She graduated from healthcare school in 2019 and has 7 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
1720 E 120th St, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at
(323) 298-6180.
Tynisha White-davies is licensed to practice in California (license number 89886) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1578089199.
Healthcare Provider's Profile
| Full Name | Tynisha White-davies |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 7 Years |
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| Location | 1720 E 120th St, Los Angeles, California |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tynisha White-davies graduated from medical school in 2019
NPI Data:
- NPI Number: 1578089199
- Provider Enumeration Date: 08/15/2017
- Last Update Date: 07/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 1254847577
- Enrollment ID: I20250723000467
Medical Identifiers
Medical identifiers for Tynisha White-davies such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578089199 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 89886 (California) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 89886 (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. Tynisha White-davies is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tynisha White-davies,
1720 E 120th St,
Los Angeles, CA 90059-3052
Ph: (323) 298-3680 | Tynisha White-davies,
1720 E 120th St,
Los Angeles, CA 90059-3052
Ph: (323) 298-6180 |
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