Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Allysha Marie Davis

Individual provider Clinical Social Worker · NPI 1902259179

Allysha Marie Davis is a Clinical Social Worker in Modesto, California. Qualified in 2014, 12 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

5815 Stoddard Rd Ste 600
Modesto, CA 95356-9041
Phone: (209) 543-1874
Fax: (209) 543-1869
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 98770 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence ASW65373 (CA)

Record details

NPI number1902259179
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 22, 2016
Last updated in NPPESApril 7, 2021
Certification dateApril 7, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Modesto