Individual provider Active NPI

Angelica Valencia

  • Clinical Social Worker
  • Thousand Oaks, CA
National Provider Identifier
1083266365
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
126086 Issued in CA
Practice address
125 W Thousand Oaks Blvd Ste 600
Thousand Oaks, CA 91360-4463
Phone
(805) 418-9100
NPI assigned
Jul 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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 126086 CA Primary

Addresses

Primary practice location

125 W Thousand Oaks Blvd Ste 600
Thousand Oaks, CA 91360-4463

Mailing address

125 W Thousand Oaks Blvd
Thousand Oaks, CA 91360-4402
Phone (805) 777-3505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
126086CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ventura CurrentSince Oct 23, 2024 Accepting new patients
County of Ventura Current Accepting new patients
County of Ventura CurrentSince Jun 1, 2022 Accepting new patients
County of Ventura CurrentSince Oct 23, 2024 Accepting new patients
County of Ventura Current Accepting new patients
Aspira Foster & Family Services - Ventura PastSince Jul 1, 2022 Accepting new patients
County of Ventura PastSince Jun 1, 2022 Accepting new patients

Locations

1911 Williams Dr
Ste 200
Oxnard, CA 93036
Phone (805) 981-4221

1911 Williams Dr
Oxnard, CA 93036
Phone (805) 981-6830

125 W Thousand Oaks Blvd
Ste 600
Thousand Oaks, CA 91360
Phone (805) 777-3500

125 W Thousand Oaks Blvd
Thousand Oaks, CA 91360
Phone (805) 418-9100

800 S Victoria Ave
#L4640
Ventura, CA 93009

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

Organizations & group practices 7

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": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1083266365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W THOUSAND OAKS BLVD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604402",
            "telephone_number": "805-777-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W THOUSAND OAKS BLVD STE 600",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604463",
            "telephone_number": "805-418-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENCIA",
        "first_name": "ANGELICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "126086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.