Danielle Marie Willenborg, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW76794 Issued in CA

Practice address

2790 Truxtun Rd Ste 130
San Diego, CA 92106-6135

Phone

(858) 642-1500

Fax

(619) 294-2535

NPI assigned

Aug 1, 2017

Last updated

Nov 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Vietnam Veterans of San Diego

  dba Veterans Village of San Diego

  • Substance Abuse Rehabilitation Facility
  • San Diego, CA
  • NPI 1396873451
  NPD (past)

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1386168284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 TRUXTUN RD STE 130",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921066135",
            "telephone_number": "858-642-1500",
            "fax_number": "619-294-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 TRUXTUN RD STE 130",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921066135",
            "telephone_number": "858-642-1500",
            "fax_number": "619-294-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLENBORG",
        "first_name": "DANIELLE",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-01",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW76794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Willcuts, RBT
• Michelle Willcuts
• Camille Marie Willcutt, M.S.
• Andrew Willeford
• Linda Kay Willemse, LMFT, RN, PHN
• Jennifer Reikes Willert, M.D.
• Lawrence Browning Willes, MD
• Samantha M Willes
• Frank Tilghman Willey, PH.D., M.F.T
• Sharon K Willey, HHP

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.