Active NPI
Maria Elena Villasenor, LCSW
- Clinical Social Worker
- Alhambra, CA
National Provider Identifier
1801067798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12125
- Practice address
- 1603 W Valley Blvd Unit 4112
Alhambra, CA 91803-5647 - Phone
- (562) 708-0449
- NPI assigned
- Mar 18, 2008
- 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 | 12125 | CA | Primary |
| Contractor | 171W00000X | 12125 | CA |
Addresses
Primary practice location
1603 W Valley Blvd Unit 4112
Alhambra, CA 91803-5647
Mailing address
1603 W Valley Blvd Unit 4112
Alhambra, CA 91803-5647
Phone (562) 708-0449
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 |
|---|---|---|---|
| 12125 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464652800000",
"number": "1801067798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1603 W VALLEY BLVD UNIT 4112",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918035647",
"telephone_number": "562-708-0449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1603 W VALLEY BLVD UNIT 4112",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918035647",
"telephone_number": "562-708-0449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLASENOR",
"first_name": "MARIA ELENA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-18",
"last_updated": "2016-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "12125",
"primary": true
},
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "CA",
"license": "12125",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alhambra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.