Individual provider Active NPI

Elisa Jimenez Villafana, LCSW

  • Clinical Social Worker
  • Visalia, CA
National Provider Identifier
1700350931
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
77647 Issued in CA
Practice address
5211 W Goshen Ave
#240
Visalia, CA 93291
Phone
(707) 238-2072
NPI assigned
Jan 22, 2019
Last updated
Nov 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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 77647 CA Primary

Addresses

Primary practice location

5211 W Goshen Ave
#240
Visalia, CA 93291

Mailing address

5211 W Goshen Ave
#240
Visalia, CA 93291
Phone (707) 238-2072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201230001644 CA Practitioner - Clinical Social Worker 9133532666 Practice locations: Visalia, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
77647CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Perseverant Mind Therapy a LCSW PC Clinical CurrentSince Jan 11, 2022 Accepting new patients

Locations

707 Hahman Dr
Unit 2124
Santa Rosa, CA 95405

131A Stony Cir
Ste 500
Santa Rosa, CA 95401
Phone (707) 238-2072

5211 W Goshen Ave
Visalia, CA 93291
Phone (559) 242-6860

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": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1700350931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5211 W GOSHEN AVE",
            "address_2": "#240",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "93291",
            "telephone_number": "707-238-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5211 W GOSHEN AVE",
            "address_2": "#240",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "93291",
            "telephone_number": "707-238-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAFANA",
        "first_name": "ELISA",
        "middle_name": "JIMENEZ",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-22",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "77647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.