Provider Demographics
NPI:1962806497
Name:SHREIBER, DAVIDA (LCSW)
Entity type:Individual
Prefix:
First Name:DAVIDA
Middle Name:
Last Name:SHREIBER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 230692
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92023-0692
Mailing Address - Country:US
Mailing Address - Phone:760-519-7116
Mailing Address - Fax:
Practice Address - Street 1:270 N EL CAMINO REAL # F152
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-2874
Practice Address - Country:US
Practice Address - Phone:760-519-7116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-13
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
CA293101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical