Individual
CAROLYN ANN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3301 E 12TH ST, OAKLAND, CA 94601-3424
(510) 269-9030
Mailing address
3301 E 12TH ST, OAKLAND, CA 94601-3424
(510) 269-9030
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
105796
CA
104100000X
Social Worker
Primary
136437
CA
1041C0700X
Clinical Social Worker
105796
CA
1041C0700X
Clinical Social Worker
136437
CA
Other
Enumeration date
09/22/2020
Last updated
02/19/2026
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