Active NPI
Mario Joseph Valvo, MSW, LCSW
- Clinical Social Worker
- Ventura, CA
National Provider Identifier
1497011241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW8876
- Practice address
- 3160 Telegraph Rd
Suite 200
Ventura, CA 93003 - Phone
- (805) 642-4611
- Fax
- (805) 585-3241
- NPI assigned
- Apr 5, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS 8876 | CA | |
| Clinical Social Worker | 1041C0700X | LCSW8876 | CA | Primary |
Addresses
Primary practice location
3160 Telegraph Rd
Suite 200
Ventura, CA 93003
Mailing address
3160 Telegraph Rd.
Suite 200
Ventura, CA 93003
Phone (805) 642-4611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120814000263 | CA | Practitioner - Clinical Social Worker | 6204082845 | Practice locations: Ventura, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 8876 | CA | MD | Clinical Social Worker |
| LCSW8876 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beachside Adult and Family Therapy Inc | Clinical | Past | Accepting new patients |
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": "1333584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485475200000",
"number": "1497011241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3160 TELEGRAPH RD.",
"address_2": "SUITE 200",
"city": "VENTURA",
"state": "CA",
"postal_code": "93003",
"telephone_number": "805-642-4611",
"fax_number": "805-585-3241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3160 TELEGRAPH RD",
"address_2": "SUITE 200",
"city": "VENTURA",
"state": "CA",
"postal_code": "93003",
"telephone_number": "805-642-4611",
"fax_number": "805-585-3241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALVO",
"first_name": "MARIO",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-05",
"last_updated": "2017-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 8876",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW8876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.