Nicole Elvira Villarreal Martinez, ASW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

126669 Issued in CA

Practice address

3845 Spring Dr
Spring Valley, CA 91977-1030

Phone

(619) 906-4528

NPI assigned

Aug 29, 2020

Reactivated

Oct 22, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Nicole Villarreal Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1598659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1558974469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 TEXAS ST STE 203",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3845 SPRING DR",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919771030",
            "telephone_number": "619-906-4528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLARREAL MARTINEZ",
        "first_name": "NICOLE",
        "middle_name": "ELVIRA",
        "credential": "ASW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-29",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "deactivation_date": "2024-10-11",
        "reactivation_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "126669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "VILLARREAL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Audrey Mei Vaughan, DC
• Vivian Vaughan, LAC
• Skylar Veltri, FNP
• Vericare of California Medical Group
• Cindy Vasquez Vigil, LVN
• Karen Viloria Cate, IDC
• Thuy Hang Vo, PHARM.D.
• Vons Companies Inc
• Monica Votaw
• Lea R Walchshauser, M.A.

• Clinical Social Worker in Spring Valley, CA
• Providers in Spring Valley, 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 Oct 28, 2024; 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.