Active NPI
Renee Vendivil Silvestre, LCSW
- Clinical Social Worker
- San Diego, CA
National Provider Identifier
1710872577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 130136
- Practice address
- 9051 Mira Mesa Blvd PO Box 910782
San Diego, CA 92191 - Phone
- (858) 356-8316
- NPI assigned
- Jun 11, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 130136 | CA | Primary |
Addresses
Primary practice location
9051 Mira Mesa Blvd PO Box 910782
San Diego, CA 92191
Mailing address
9051 Mira Mesa Blvd PO Box 910782
San Diego, CA 92191
Phone (858) 356-8316
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 |
|---|---|---|---|
| 130136 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749600000000",
"number": "1710872577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9051 MIRA MESA BLVD PO BOX 910782",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92191",
"telephone_number": "858-356-8316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9051 MIRA MESA BLVD PO BOX 910782",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92191",
"telephone_number": "858-356-8316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILVESTRE",
"first_name": "RENEE",
"middle_name": "VENDIVIL",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-11",
"last_updated": "2025-06-11",
"certification_date": "2025-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "130136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.