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NPI Code Detail

MEDICARE: DR. DEBORAH VILLANUEVA LCSW

MEDICARE: DR. DEBORAH VILLANUEVA LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker
21041C0700XClinical Social Worker82354CA

General Provider Information

NPI Number : 1053701839
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEBORAH VILLANUEVA LCSW
Provider Business Mailing Address
First Line : 10330 PIONEER BLVD STE 215
Second Line :
City : SANTA FE SPRINGS
State : CA
Zip : 90670-8277
Country : US
Telephone Number : 310-266-2560
Fax Number :
Provider Business Practice Location Address
First Line : 10330 PIONEER BLVD STE 215
Second Line :
City : SANTA FE SPRINGS
State : CA
Zip : 90670-8277
Country : US
Telephone Number : 310-266-2560
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2015
Last Update Date : 03/25/2026

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Directions to “ DR. DEBORAH VILLANUEVA LCSW” Practice Location

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