Active NPI
Suenia Yvonne Villa, LCSW
- Clinical Social Worker
- Hollister, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW71155
- Practice address
- 30 Azul CT
Hollister, CA 95023-3202 - Phone
- (408) 642-9194
- NPI assigned
- Jul 28, 2016
- Last updated
- Mar 21, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW71155 | CA | Primary |
| Clinical Social Worker | 1041C0700X | LW61024842 | WA |
Addresses
Primary practice location
30 Azul CT
Hollister, CA 95023-3202
Mailing address
30 Azul CT
Hollister, CA 95023-3202
Phone (408) 642-9194
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1650 S White Rd
San Jose, CA 95127-4758
Phone (408) 928-5250
5504 Monterey Hwy
San Jose, CA 95138-1529
Phone (408) 729-9700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW71155 | CA | MD | Clinical Social Worker |
| LW61024842 | WA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indian Health Center of Santa Clara Valley | Current | Accepting new patients | |
| Indian Health Center of Santa Clara Valley | Current | Accepting new patients | |
| Bay Area Community Health | Current | Accepting new patients | |
| Bay Area Community Health | Current | Accepting new patients | |
| Indian Health Center of Santa Clara Valley | Current | Accepting new patients | |
| Mark David Levine, MD Burlingame PC | Past | Accepting new patients |
Locations
1860 Mowry Ave
Ste 400
Fremont, CA 94538
Phone (510) 284-4100
39500 Liberty St
Fremont, CA 94538
Phone (510) 770-8133
40910 Fremont Blvd
Fremont, CA 94538
Phone (510) 770-8133
1860 Mowry Ave
Fremont, CA 94538
Phone (510) 284-4140
9460 No Name Uno
Ste 110
Gilroy, CA 95020
Phone (408) 797-2500
1642 E Capitol Expy
San Jose, CA 95121
Phone (408) 270-0112
1333 Meridian Ave
San Jose, CA 95125
Organizations & group practices 6
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.
-
dba BACH School Mobile Health Clinic II
- Federally Qualified Health Center (FQHC)
- Fremont, CA
- NPI 1780054379
-
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1881997963
-
dba Aborn Dental Clinic
- Federally Qualified Health Center (FQHC)
- Fremont, CA
- NPI 1184791998
-
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1114290780
-
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1275964488
-
dba Community Psychiatry Associates
- Psychiatry Physician
- San Mateo, CA
- NPI 1770709263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742515200000",
"number": "1720531585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 AZUL CT",
"city": "HOLLISTER",
"state": "CA",
"postal_code": "950233202",
"telephone_number": "408-642-9194",
"fax_number": "206-326-2785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 AZUL CT",
"city": "HOLLISTER",
"state": "CA",
"postal_code": "950233202",
"telephone_number": "408-642-9194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLA",
"first_name": "SUENIA",
"middle_name": "YVONNE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-28",
"last_updated": "2025-03-21",
"certification_date": "2025-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW71155",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW61024842",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollister, CA
- Maria Luisa Vargas Torres, MD
- John Vasquez, OT
- Nancy Abellera Vazquez
- Vibrant Smiles Dental Hygiene Practice by Vanessa Salinas Rdhap (Vibrant Smiles Dental Hygiene)
- Victory Non-Emergency Medical Transport
- Delia Viscarra, HEALTH EDUCATOR
- Walgreen Co (Walgreens #15433)
- Daniel Y. Wang
- Nathan William Ward, DDS
- Warrior Wellness Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.