Individual provider Active NPI

Althea Angelique Villarin Guzman, PPSC

  • Clinical Social Worker
  • San Jose, CA
National Provider Identifier
1659148690
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
118561 Issued in CA
Practice address
1055 S Monroe St
San Jose, CA 95128-3150
Phone
(408) 556-0360
NPI assigned
Dec 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 118561 CA Primary

Addresses

Primary practice location

1055 S Monroe St
San Jose, CA 95128-3150

Mailing address

41041 Trimboli Way Unit 1086
Fremont, CA 94538-8007
Phone (510) 304-4568

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
118561CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Seneca Family of Agencies CurrentSince Dec 17, 2023 Accepting new patients
Pacific Clinics PastSince Dec 17, 2023 Accepting new patients

Locations

1055 S Monroe St
San Jose, CA 95128
Phone (408) 556-0360

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": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1659148690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41041 TRIMBOLI WAY UNIT 1086",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945388007",
            "telephone_number": "510-304-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 S MONROE ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283150",
            "telephone_number": "408-556-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "ALTHEA ANGELIQUE",
        "middle_name": "VILLARIN",
        "credential": "PPSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "118561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.