JOLYN DAVIDSON (RN, LCSW, DCSW) – Clinical Social Worker, NPI 1013936822

JOLYN DAVIDSON (RN, LCSW, DCSW) is a healthcare provider. based in Covina, California. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials RN, LCSW, DCSW. They hold a License No. LCS 9379 (CA). The NPI Number for JOLYN DAVIDSON (RN, LCSW, DCSW) is 1013936822

Main info

Female
Sole Proprietor
49 Years Of Experience
Accepts Medicare Assignment
Name
JOLYN DAVIDSON (RN, LCSW, DCSW)
NPI
1013936822
Phone
(626) 339-2140
Address
1338 CENTER COURT DR
Enumeration Date
19 July 2006
Last Update Date
1 September 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6263392140
Graduation Year
1977 (49 years ago)
PAC ID
0143499277
Professional Enrollment ID
I20110808000125
Address ID
CA917243681CO1338XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,068 CLINICAL SOCIAL WORKER in CA

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Provider Addresses for JOLYN DAVIDSON (RN, LCSW, DCSW)

  • 1338, Center Court Drive, Covina, Los Angeles County, California, 91724, United States

    SUITE 102

    COVINA, CA 917243681

    Phone: (626) 339-2140

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-08-08

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110808000125IClinical Social WorkerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91724)

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Reviews

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Frequently asked questions

Does JOLYN DAVIDSON (RN, LCSW, DCSW) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JOLYN DAVIDSON (RN, LCSW, DCSW) uses 1013936822.
Is JOLYN DAVIDSON (RN, LCSW, DCSW) listed as active for patients and plans?
The listing shows JOLYN DAVIDSON (RN, LCSW, DCSW) as active in the NPI system.
What taxonomy line describes JOLYN DAVIDSON (RN, LCSW, DCSW)?
For research purposes, treat JOLYN DAVIDSON (RN, LCSW, DCSW) as Clinical Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
Does JOLYN DAVIDSON (RN, LCSW, DCSW) list a practice location?
Patients near Covina, California may find JOLYN DAVIDSON (RN, LCSW, DCSW) in results; validate coverage separately.
Is the information about JOLYN DAVIDSON (RN, LCSW, DCSW) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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