Individual provider Active NPI

Yesenia C Villalta, LCSW

  • Clinical Social Worker
  • Ashburn, VA
National Provider Identifier
1114389475
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904009722 Issued in VA
Practice address
20098 Ashbrook PL Ste 255
Ashburn, VA 20147-3394
Phone
(804) 207-6737
Fax
(804) 447-3352
NPI assigned
Mar 25, 2016
Last updated
May 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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 0904009722 VA Primary

Addresses

Primary practice location

20098 Ashbrook PL Ste 255
Ashburn, VA 20147-3394

Mailing address

20098 Ashbrook PL Ste 255
Ashburn, VA 20147-3394
Phone (804) 207-6737

Other identifiers 1

IdentifierTypeStateIssuer
600876329MedicaidVA

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

Practice roles

OrganizationSpecialtyStatusNew patients
Venceremos, LLC. Clinical CurrentSince Nov 21, 2021 Accepting new patients
Commonwealth Counseling Associates Inc Mental Health PastSince Jul 26, 2022 Accepting new patients

Locations

14321 Winter Breeze Dr
#50
Midlothian, VA 23113
Phone (571) 317-1833

Organizations & group practices 2

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": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1114389475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20098 ASHBROOK PL STE 255",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201473394",
            "telephone_number": "804-207-6737",
            "fax_number": "804-447-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20098 ASHBROOK PL STE 255",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201473394",
            "telephone_number": "804-207-6737",
            "fax_number": "804-447-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLALTA",
        "first_name": "YESENIA",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-25",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600876329",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.