Provider Demographics
NPI:1760795736
Name:DAVIS, SANTRICE ARMELIA (ASW)
Entity Type:Individual
Prefix:MS
First Name:SANTRICE
Middle Name:ARMELIA
Last Name:DAVIS
Suffix:
Gender:F
Credentials:ASW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2425 ALHAMBRA BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-1110
Mailing Address - Country:US
Mailing Address - Phone:916-313-8433
Mailing Address - Fax:
Practice Address - Street 1:2425 ALHAMBRA BLVD STE B
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-1110
Practice Address - Country:US
Practice Address - Phone:916-313-8433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-20
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA280291041C0700X
CA1078071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical