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

Davis Lo

Individual provider Counselor · NPI 1710434279

Davis Lo is a Clinical Social Worker in Sacramento, California. Qualified in 2019, 7 years ago. Practices with Sud Specialty Group - Ca, a 499-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2016
Specialties on file
6

Practice location Address checks out

401 S St
Sacramento, CA 95811-6919
Phone: (916) 584-7800
Show map & directions

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

Additional practice locations (2)

  • 1234 Empire St Ste 2200, Fairfield, CA 94533-5711 — (650) 372-4080
  • 3780 Rosin Court, Sacramento, CA 95834 — (916) 363-1553

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 90005 (CA)
Counselor Taxonomy 101Y00000X
Mental Health Counselor Taxonomy 101YM0800X · Licence 90005 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 108134 (CA)
School Social Worker Taxonomy 1041S0200X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1710434279
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 1, 2016
Last updated in NPPESJanuary 5, 2023
Certification dateJanuary 5, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Sud Specialty Group - Ca — 499 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Sacramento