Jacquelyn Alyssa Villasenor, ASW is a
Counselor - Mental Health based in North Hills, California. Jacquelyn Alyssa Villasenor is licensed to practice in California (license number 99538) and her current practice location is
15305 Rayen St, North Hills, California. She can be reached at her office (for appointments etc.) via phone at
(818) 892-3423.
NPI number for Jacquelyn Alyssa Villasenor is 1104492057 and her current mailing address is 15305 Rayen St, North Hills, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104492057.
Healthcare Provider's Profile
Full Name | Jacquelyn Alyssa Villasenor |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 15305 Rayen St, North Hills, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104492057
- Provider Enumeration Date: 06/01/2021
- Last Update Date: 06/30/2023
Medical Identifiers
Medical identifiers for Jacquelyn Alyssa Villasenor such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104492057 | NPI | - | NPPES |
95263365 | Other | CA | MEDI-CAL |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | 99538 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacquelyn Alyssa Villasenor is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jacquelyn Alyssa Villasenor, ASW 15305 Rayen St, North Hills, CA 91343-5117 Ph: (818) 892-3423 | Jacquelyn Alyssa Villasenor, ASW 15305 Rayen St, North Hills, CA 91343-5117 Ph: (818) 892-3423 |
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