Individual provider Active NPI

Valerie Voncier Veza, L.C.S.W

  • Clinical Social Worker
  • Emeryville, CA
National Provider Identifier
1770886160
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
25673 Issued in CA
Practice address
1500 Park Ave. # 105
Emeryville, CA 94608-3546
Phone
(510) 463-7225
NPI assigned
Dec 7, 2010
Last updated
May 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2024

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 25673 CA Primary

Addresses

Primary practice location

1500 Park Ave. # 105
Emeryville, CA 94608-3546

Mailing address

1500 Park Ave. # 105
Emeryville, CA 94608-3546
Phone (510) 463-7225

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

LicenseStateTypeSpecialty
25673CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Endurance- a Sports and Psychology Center, Inc. Clinical Past Accepting new patients

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": "1291680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1770886160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 PARK AVE. # 105",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946083546",
            "telephone_number": "510-463-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PARK AVE. # 105",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946083546",
            "telephone_number": "510-463-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEZA",
        "first_name": "VALERIE",
        "middle_name": "VONCIER",
        "credential": "L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-07",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "25673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emeryville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.