Individual provider Active NPI

Yajaira Villeda Arroyo, DSW, LCSW-S

  • Clinical Social Worker
  • Fort Liberty, NC
National Provider Identifier
1477982403
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C009806 Issued in NC
Practice address
2817 Rock Merritt Ave Stop a
Fort Liberty, NC 28310-7201
Phone
(910) 643-2192
NPI assigned
Nov 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C009806 NC Primary
Clinical Social Worker 1041C0700X 55183 TX

Addresses

Primary practice location

2817 Rock Merritt Ave Stop a
Fort Liberty, NC 28310-7201

Mailing address

5617 Weatherford Rd
Fayetteville, NC 28303-2627
Phone (432) 438-1689

Other names 1

  • Ms. Yajaira Villeda Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240624000258 NC Practitioner - Clinical Social Worker 4183853476 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mending Mental Health PLLC Clinical CurrentSince Oct 15, 2023 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1477982403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5617 WEATHERFORD RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283032627",
            "telephone_number": "432-438-1689",
            "fax_number": "214-645-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 ROCK MERRITT AVE STOP A",
            "city": "FORT LIBERTY",
            "state": "NC",
            "postal_code": "283107201",
            "telephone_number": "910-643-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARROYO",
        "first_name": "YAJAIRA",
        "middle_name": "VILLEDA",
        "name_prefix": "Dr.",
        "credential": "DSW, LCSW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-12",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009806",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "55183",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YAJAIRA",
            "last_name": "VILLEDA",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Liberty, NC

Sources for this page

Verify at the official NPI Registry.