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

Mr. Bobby Jerome Davis, LCSW24919

Individual provider Clinical Social Worker · NPI 1932230562

Mr. Bobby Jerome Davis, LCSW24919 is a Clinical Social Worker in Los Angeles, California. Qualified in 2002, 24 years ago. Practices with South Central Family Health Center, a 21-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
24
Licensed in
CA
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

4240 W 62nd St
Los Angeles, CA 90043-3615
Phone: (323) 299-0369
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4240 W 62nd St, Los Angeles, CA 90043-3615 — (323) 299-0369
  • 520 S Sepulveda Blvd, Los Angeles, CA 90049-3521 — (818) 568-9029

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 24919 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence LCSW 24919 (CA)

Record details

NPI number1932230562
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW24919
Sole proprietorYes
NPI enumeratedMarch 7, 2007
Last updated in NPPESNovember 30, 2021
Certification dateNovember 30, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice South Central Family Health Center — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Los Angeles