Active NPI
Vivien Mosqueda Villaverde, LCSW, PPSC
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1699890780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS21683
- Practice address
- Lausd School Mental Health
439 West 97TH Street
Los Angeles, CA 90003 - Phone
- (323) 754-2856
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- 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 | LCS21683 | CA | Primary |
| School Social Worker | 1041S0200X | PPSC | CA |
Addresses
Primary practice location
Lausd School Mental Health
439 West 97TH Street
Los Angeles, CA 90003
Mailing address
School Mental Health
439 West 97TH Street
Los Angeles, CA 90003
Phone (323) 754-2856
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EPS012780 | Other | CA | MEDI-CAL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCS21683 | CA | MD | Clinical Social Worker |
| PPSC | CA | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194912000000",
"number": "1699890780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SCHOOL MENTAL HEALTH",
"address_2": "439 WEST 97TH STREET",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90003",
"telephone_number": "323-754-2856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LAUSD SCHOOL MENTAL HEALTH",
"address_2": "439 WEST 97TH STREET",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90003",
"telephone_number": "323-754-2856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLAVERDE",
"first_name": "VIVIEN",
"middle_name": "MOSQUEDA",
"name_prefix": "Ms.",
"credential": "LCSW, PPSC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2007-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS21683",
"primary": true
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "CA",
"license": "PPSC",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "EPS012780",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.