Individual provider Active NPI

Jessica Ann Villalobos, ASW

  • Clinical Social Worker
  • Camarillo, CA
National Provider Identifier
1659020360
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ASW105268 Issued in CA
Practice address
600 Temple Ave
Camarillo, CA 93010-4835
Phone
(805) 389-2100
NPI assigned
Mar 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X ASW105268 CA
Clinical Social Worker 1041C0700X ASW105268 CA Primary

Addresses

Primary practice location

600 Temple Ave
Camarillo, CA 93010-4835

Mailing address

600 Temple Ave
Camarillo, CA 93010-4835
Phone (805) 248-3445

Other practice location 1

5284 Adolfo Rd Ste 100
Camarillo, CA 93012-6790
Phone (805) 289-0120

Other identifiers 1

IdentifierTypeStateIssuer
56CCOtherCAASPIRA

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
ASW105268CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aspira Foster & Family Services - Ventura Case Manager/Care Coordinator PastSince Jul 1, 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1659020360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 TEMPLE AVE",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930104835",
            "telephone_number": "805-248-3445",
            "fax_number": "805-289-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 TEMPLE AVE",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930104835",
            "telephone_number": "805-389-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5284 Adolfo Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930126790",
            "country_code": "US",
            "telephone_number": "805-289-0120",
            "fax_number": "805-289-0130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLALOBOS",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "ASW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-21",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "ASW105268",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW105268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASPIRA",
            "identifier": "56CC",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.