Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1528437043 Individual Practitioner Female Practitioner

Kellsie Lin Davis

Social Worker • Orange, CA

Professional Overview & Biography Verified Profile Summary

Kellsie Davis is a registered healthcare professional specializing in Social Worker in Orange, CA. Practice services are available at 401 S TUSTIN ST BLDG D under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

401 S Tustin St Bldg D

Orange, CA 928662550

Telephone 7142893936
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Orange, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.0 Yrs
State Avg: 16.2 Yrs
Regional Practice Density
107 Specialists

Practicing in Orange, CA (10507 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-05-31
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License CA LCSW121225

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Nuvia Rodriguez

Counselor - Mental Health

NPI 1003289000
Erica Cowan

Counselor - Mental Health

NPI 1013254044
Deryn Bowser

Counselor - Mental Health

NPI 1023576121
Manuel Aguilar

Rehabilitation Practitioner

NPI 1023705308
Ami Najera , LVN

Licensed Vocational Nurse

NPI 1043074669

Licensed Vocational Nurse

Teri Arana

Social Worker - Clinical

NPI 1043855067

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location May 31, 2024

Registered at 401 S TUSTIN ST BLDG D, ORANGE, CA 928662550 (Tel: 7142893936)

📍
Updated Business Mailing Address May 31, 2024

Registered at 401 S TUSTIN ST BLDG D, ORANGE, CA 928662550 (Tel: 7142893936)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2024

Social Worker (License #LCSW121225 in CA)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Social Worker (License #ACSW77255 in CA)

NPI Profile Active February 07, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location February 07, 2018

Registered at 4025 W 226TH ST, TORRANCE, CA 905052340 (Tel: 3103734556)

📍
Updated Business Mailing Address February 07, 2018

Registered at 4025 W 226TH ST, TORRANCE, CA 905052340 (Tel: 3103734556)

👤
Provider Name / Credentials Updated February 07, 2018

Recorded as KELLSIE DAVIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2018

Counselor

NPI Profile Active September 12, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 12, 2016

Registered at 10929 SOUTH ST, SUITE 208B, CERRITOS, CA 907035340 (Tel: 5629245526)

📍
Updated Business Mailing Address September 12, 2016

Registered at 10929 SOUTH ST, SUITE 208B, CERRITOS, CA 907035340 (Tel: 5629245526)

👤
Provider Name / Credentials Updated September 12, 2016

Recorded as KELLSIE DAVIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration September 15, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528437043
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 15, 2015
Last Update: May 31, 2024
Sole Proprietor: No

Mailing Address

401 S Tustin St Bldg D

Orange, CA 928662550

Phone: 7142893936

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.