Individual provider Active NPI

Delia Gutierrez-Villagomez

  • Clinical Social Worker
  • Napa, CA
National Provider Identifier
1053518753
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ASW124306 Issued in CA
Practice address
650 Imperial Way Ste 101
Napa, CA 94559-1344
Phone
(707) 253-6043
Fax
(707) 253-6117
NPI assigned
Jun 27, 2007
Last updated
Oct 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ASW124306 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X NU
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

650 Imperial Way Ste 101
Napa, CA 94559-1344

Mailing address

650 Imperial Way Ste 101
Napa, CA 94559-1344
Phone (707) 253-6043

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ASW124306CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Napa County PastSince Sep 12, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1053518753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 IMPERIAL WAY STE 101",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945591344",
            "telephone_number": "707-253-6043",
            "fax_number": "707-253-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 IMPERIAL WAY STE 101",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945591344",
            "telephone_number": "707-253-6043",
            "fax_number": "707-253-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ-VILLAGOMEZ",
        "first_name": "DELIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW124306",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.