Individual provider Active NPI

Benita Villalino, LCSW

  • Clinical Social Worker
  • Mesa, AZ
National Provider Identifier
1568051894
Registry record updated Jul 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW20351 Issued in AZ
Practice address
1220 S Alma School Rd Ste 102
Mesa, AZ 85210-2078
Phone
(602) 529-5391
NPI assigned
Jan 12, 2021
Last updated
Jul 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2026

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 C018174 NC
Clinical Social Worker 1041C0700X LCSW20351 AZ Primary

Addresses

Primary practice location

1220 S Alma School Rd Ste 102
Mesa, AZ 85210-2078

Mailing address

1225 W Main St Ste 101-430
Mesa, AZ 85201-7034

Other practice location 1

43 Shuckin St Unit 201
Hampstead, NC 28443-8728
Phone (502) 322-6478

Other names 1

  • Benita Deluca Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCSW20351AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cactus Flower Healing LLC Mental Health PastSince Sep 20, 2022 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783728000000",
    "number": "1568051894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 W MAIN ST STE 101-430",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852017034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 S ALMA SCHOOL RD STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852102078",
            "telephone_number": "602-529-5391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43 Shuckin St Unit 201",
            "address_purpose": "LOCATION",
            "city": "Hampstead",
            "state": "NC",
            "postal_code": "284438728",
            "country_code": "US",
            "telephone_number": "502-322-6478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLALINO",
        "first_name": "BENITA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-12",
        "last_updated": "2026-07-11",
        "certification_date": "2026-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C018174",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW20351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BENITA",
            "last_name": "DELUCA",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2026; 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.