Active NPI
Adriane Villalon, LCSW
- Clinical Social Worker
- Chino, CA
National Provider Identifier
1407553068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904014650
- Practice address
- 11475 Central Ave Apt 27
Chino, CA 91710-6435 - Phone
- (757) 275-6476
- NPI assigned
- Feb 14, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 0904014650 | VA | Primary |
Addresses
Primary practice location
11475 Central Ave Apt 27
Chino, CA 91710-6435
Mailing address
11475 Central Ave Apt 27
Chino, CA 91710-6435
Phone (757) 275-6476
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904014650 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myspectrum LLC | Single Specialty | Current | Accepting new patients |
Locations
707 N Courthouse Rd
North Chesterfield, VA 23236
Phone (804) 332-5696
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676332800000",
"number": "1407553068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11475 CENTRAL AVE APT 27",
"city": "CHINO",
"state": "CA",
"postal_code": "917106435",
"telephone_number": "757-275-6476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11475 CENTRAL AVE APT 27",
"city": "CHINO",
"state": "CA",
"postal_code": "917106435",
"telephone_number": "757-275-6476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLALON",
"first_name": "ADRIANE",
"name_prefix": "Miss",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-14",
"last_updated": "2023-02-14",
"certification_date": "2022-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904014650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.