Active NPI
Virginia Gail Willis, LCSW
- Social Worker
- Torrance, CO
National Provider Identifier
1902892003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LCS20227
- Practice address
- 25500 Hawthorne Blvd
Torrance, CO 90505 - Phone
- (310) 378-0920
- Fax
- (562) 866-5730
- NPI assigned
- Sep 23, 2005
- Last updated
- Oct 11, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LCS20227 | CA | Primary |
Addresses
Primary practice location
25500 Hawthorne Blvd
Torrance, CO 90505
Mailing address
152 Aspen
Rolling Hills Estates, CA 90274
Phone (562) 866-1895
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS20227 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192060800000",
"number": "1902892003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "152 ASPEN",
"city": "ROLLING HILLS ESTATES",
"state": "CA",
"postal_code": "90274",
"telephone_number": "562-866-1895",
"fax_number": "562-866-5730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25500 HAWTHORNE BLVD",
"city": "TORRANCE",
"state": "CO",
"postal_code": "90505",
"telephone_number": "310-378-0920",
"fax_number": "562-866-5730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIS",
"first_name": "VIRGINIA",
"middle_name": "GAIL",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-23",
"last_updated": "2007-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "LCS20227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.