MEDICARE: MS. MIGDALIA VILLAFANE MSW, 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
1	1041C0700X	Clinical Social Worker	LCSW114406	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	CBSC591	OTHER	CA	LADMH PROVIDER

General Provider Information

NPI Number	:	1104044452
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MIGDALIA VILLAFANE MSW, LCSW

Provider Business Mailing Address
First Line	:	675 S ARROYO PKWY STE 420
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91105-3215
Country	:	US
Telephone Number	:	925-282-1778
Fax Number	:

Provider Business Practice Location Address
First Line	:	675 S ARROYO PKWY STE 420
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91105-3215
Country	:	US
Telephone Number	:	925-282-1778
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2007
Last Update Date	:	02/10/2026

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