Individual provider Active NPI

Virginia Huezo, MSW

  • Clinical Social Worker
  • Napa, CA
National Provider Identifier
1073665758
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
25778 Issued in CA
Practice address
3299 Claremont Way
Suite 1
Napa, CA 94558-3382
Phone
(707) 253-0123
Fax
(707) 224-8628
NPI assigned
Jan 16, 2007
Last updated
Sep 11, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 25778 CA Primary

Addresses

Primary practice location

3299 Claremont Way
Suite 1
Napa, CA 94558-3382

Mailing address

1012 Tamarisk Drive
Napa, CA 94559-4235
Phone (707) 258-9147

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170227000966 CA Practitioner - Clinical Social Worker 9436433018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of NapaGroup PAC ID 7012991862, 6 clinicians

Practice addresses (Care Compare)

2751 Napa Valley Corporate Dr
Napa, CA 94558-6216

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25778CAMDClinical Social Worker

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347321600000",
    "number": "1073665758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 TAMARISK DRIVE",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945594235",
            "telephone_number": "707-258-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3299 CLAREMONT WAY",
            "address_2": "SUITE 1",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583382",
            "telephone_number": "707-253-0123",
            "fax_number": "707-224-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUEZO",
        "first_name": "VIRGINIA",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2012-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "25778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.