Active NPI
Monica E Villa, LMSW
- Clinical Social Worker
- Livonia, MI
National Provider Identifier
1083966097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801081678
- Practice address
- 17177 N Laurel Park Dr
Livonia, MI 48152-2693 - Phone
- (734) 462-3210
- Fax
- (734) 462-1024
- NPI assigned
- Oct 15, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801081678 | MI | Primary |
Addresses
Primary practice location
17177 N Laurel Park Dr
Livonia, MI 48152-2693
Mailing address
30580 Crest FRST
Farmington Hills, MI 48331-1049
Phone (313) 617-2786
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801081678 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670889600000",
"number": "1083966097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30580 CREST FRST",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483311049",
"telephone_number": "313-617-2786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17177 N LAUREL PARK DR",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481522693",
"telephone_number": "734-462-3210",
"fax_number": "734-462-1024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLA",
"first_name": "MONICA",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-15",
"last_updated": "2022-12-13",
"certification_date": "2022-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801081678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.