Individual provider Active NPI

Patricia A Huber Villano, LCSW R

  • Clinical Social Worker
  • Ballston Spa, NY
National Provider Identifier
1861478919
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
069476 Issued in NY
Practice address
15 Trieble Ave Ste 5
Ballston Spa, NY 12020-6027
Phone
(518) 469-9887
NPI assigned
Dec 21, 2005
Last updated
Nov 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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 069476 NY Primary

Addresses

Primary practice location

15 Trieble Ave Ste 5
Ballston Spa, NY 12020-6027

Mailing address

15 Trieble Ave Ste 5
Ballston Spa, NY 12020-6027
Phone (518) 469-9887

Other identifiers 3

IdentifierTypeStateIssuer
00412537001OtherNYBSNENY
N32B81OtherNYBLUE CROSS
11590586OtherCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040413001022 NY Practitioner - Clinical Social Worker 2163416033 Reassigns benefits to 1 organization
Practice locations: Ballston Spa, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
069476NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
365 Mental Health Counseling PLLC PastSince Jan 4, 2026 Accepting new patients

Organizations & group practices 2

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": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1861478919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 TRIEBLE AVE STE 5",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120206027",
            "telephone_number": "518-469-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 TRIEBLE AVE STE 5",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120206027",
            "telephone_number": "518-469-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBER VILLANO",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "credential": "LCSW R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-21",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "069476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSNENY",
            "identifier": "00412537001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "N32B81",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11590586",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballston Spa, NY

Sources for this page

Verify at the official NPI Registry.