Individual provider · Type 1 NPI

Samuel Jesse Villa

Clinical Social Worker · Fresno, CA

NPI number 1326651399 Active

Practice location

3451 W Shaw Ave
Fresno, CA 93711-3242

Call (559) 314-3519 Map

Mailing address

4546 W Monte Verde Ave
Visalia, CA 93277-8894

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Social Worker 104100000X106774 (CA)
Clinical Social Worker Primary 1041C0700X132450 (CA)

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 1326651399

Samuel Jesse Villa's National Provider Identifier is 1326651399, issued on Aug 28, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fresno, CA. The record was last updated on Aug 14, 2025.