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

Crystal Angelina Davenport, ACSW

Individual provider Clinical Social Worker · NPI 1811675093

Crystal Angelina Davenport, ACSW is a Clinical Social Worker in Stockton, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

1212 N California St
Stockton, CA 95202-1552
Phone: (209) 640-9128
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence ASW93101 (CA)

Record details

NPI number1811675093
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACSW
Sole proprietorNo
NPI enumeratedJuly 7, 2023
Last updated in NPPESJuly 7, 2023
Certification dateJuly 7, 2023

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