Individual provider · Type 1 NPI

Jesse Villanueba

Clinical Social Worker · Durango, CO

NPI number 1235856162 Active

Practice location

150 Mercury Village Dr
Durango, CO 81301-8955

Fax (970) 335-2438

Mailing address

PO Box 1328
Durango, CO 81302-1328

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XACD.0002096 (CO)
Clinical Social Worker Primary 1041C0700XCSW.09930906 (CO)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1235856162

Jesse Villanueba's National Provider Identifier is 1235856162, issued on Oct 21, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Durango, CO. The record was last updated on Feb 11, 2026.