Healthcare Provider Details

I. General information

NPI: 1053701839
Provider Name (Legal Business Name): DEBORAH VILLANUEVA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2015
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10330 PIONEER BLVD STE 215
SANTA FE SPRINGS CA
90670-8277
US

IV. Provider business mailing address

10330 PIONEER BLVD STE 215
SANTA FE SPRINGS CA
90670-8277
US

V. Phone/Fax

Practice location:
  • Phone: 310-266-2560
  • Fax:
Mailing address:
  • Phone: 310-266-2560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number82354
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: