Active NPI
Cindy Villaverde
- Clinical Social Worker
- Cerritos, CA
National Provider Identifier
1720487234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 90332
- Practice address
- 17707 Studebaker Rd
Cerritos, CA 90703-2640 - Phone
- (562) 402-0688
- NPI assigned
- Aug 20, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 90332 | CA | |
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | 90332 | CA | Primary |
Addresses
Primary practice location
17707 Studebaker Rd
Cerritos, CA 90703-2640
Mailing address
PO Box 12312
Orange, CA 92859-8312
Phone (714) 499-3941
Other practice location 1
1224 Vine St
Los Angeles, CA 90038-1612
Phone (323) 769-6100
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cvillaverder@dmh.lacounty.gov | Direct |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615161600000",
"number": "1720487234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12312",
"city": "ORANGE",
"state": "CA",
"postal_code": "928598312",
"telephone_number": "714-499-3941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17707 STUDEBAKER RD",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907032640",
"telephone_number": "562-402-0688"
}
],
"practiceLocations": [
{
"address_1": "1224 Vine St",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900381612",
"country_code": "US",
"telephone_number": "323-769-6100",
"fax_number": "323-467-0297",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VILLAVERDE",
"first_name": "CINDY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-20",
"last_updated": "2021-03-08",
"certification_date": "2021-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "90332",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "90332",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cvillaverder@dmh.lacounty.gov",
"affiliation": "N",
"endpointDescription": "Office",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "17707 Studebaker Rd",
"city": "Cerritos",
"state": "CA",
"country_code": "US",
"postal_code": "907032640",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Cerritos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.