Provider Demographics
NPI:1962282103
Name:DAVALOZ, KARINA ALYSSA (LCSW)
Entity type:Individual
Prefix:
First Name:KARINA
Middle Name:ALYSSA
Last Name:DAVALOZ
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 1:9371 GRANITE HILL DR
Mailing Address - Street 2:
Mailing Address - City:JURUPA VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92509-1024
Mailing Address - Country:US
Mailing Address - Phone:951-360-2725
Mailing Address - Fax:
Practice Address - Street 1:9371 GRANITE HILL DR
Practice Address - Street 2:
Practice Address - City:JURUPA VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92509-1024
Practice Address - Country:US
Practice Address - Phone:951-360-2725
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-04
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW1224011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical