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

Bethany Basinger Coburn, LCSW

Individual provider Clinical Social Worker · NPI 1912565524

Bethany Basinger Coburn, LCSW is a Clinical Social Worker in Davis, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1627 Oak Ave Ste C
Davis, CA 95616-1072
Phone: (773) 678-9975
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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 61298 (CA)

Record details

NPI number1912565524
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 30, 2019
Last updated in NPPESMay 30, 2019
Mailing address2114 Pollock Ct, Davis, CA 95618-7620

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