Provider Demographics
NPI:1275419285
Name:ARELLANO DAVIS, JEANINE LOUISE (LCSW)
Entity type:Individual
Prefix:MS
First Name:JEANINE
Middle Name:LOUISE
Last Name:ARELLANO DAVIS
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 1:1889 LAWRENCE RD
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95051-2166
Mailing Address - Country:US
Mailing Address - Phone:408-423-3609
Mailing Address - Fax:
Practice Address - Street 1:1889 LAWRENCE RD
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95051-2166
Practice Address - Country:US
Practice Address - Phone:408-423-3609
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA258091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical