Individual provider · Type 1 NPI
Juan Villa, LCSW
Clinical Social Worker · Ceres, CA
Practice location
3416 Cassie Ln
Ceres, CA 95307-9580
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Clinical Social Worker Primary | 1041C0700X | 104630 (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 1588064190
Juan Villa, LCSW's National Provider Identifier is 1588064190, issued on Sep 2, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ceres, CA. The record was last updated on Aug 3, 2026.