Active NPI
Korina Villa, LMSW
- Social Worker
- El Paso, TX
National Provider Identifier
1720897895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 114612
- Practice address
- 4426 Cumberland Ave
El Paso, TX 79903-1904 - Phone
- (915) 479-1761
- NPI assigned
- Jan 3, 2025
- Last updated
- Jan 3, 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | SWB-2024-0985 | NM | |
| Social Worker | 104100000X | 114612 | TX | Primary |
Addresses
Primary practice location
4426 Cumberland Ave
El Paso, TX 79903-1904
Mailing address
4426 Cumberland Ave
El Paso, TX 79903-1904
Phone (915) 479-1761
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 |
|---|---|---|---|
| SWB-2024-0985 | NM | MD | Social Worker |
| 114612 | TX | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735862400000",
"number": "1720897895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4426 CUMBERLAND AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799031904",
"telephone_number": "915-479-1761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4426 CUMBERLAND AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799031904",
"telephone_number": "915-479-1761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLA",
"first_name": "KORINA",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-03",
"last_updated": "2025-01-03",
"certification_date": "2025-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "SWB-2024-0985",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "114612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.