Jesse Villanueba, is a
Social Worker - Clinical based in Durango, Colorado. Jesse Villanueba is licensed to practice in Colorado (license number CSW.09930906) and his current practice location is
150 Mercury Village Dr, Durango, Colorado. He can be reached at his office (for appointments etc.) via phone at
(970) 335-2422.
NPI number for Jesse Villanueba is 1235856162 and his current mailing address is Po Box 1328, Durango, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1235856162.
Healthcare Provider's Profile
| Full Name | Jesse Villanueba |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 150 Mercury Village Dr, Durango, Colorado |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1235856162
- Provider Enumeration Date: 10/21/2022
- Last Update Date: 09/23/2024
Medical Identifiers
Medical identifiers for Jesse Villanueba such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235856162 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ACD.0002096 (Colorado) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW.09930906 (Colorado) | 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. Jesse Villanueba 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 |
|---|
Jesse Villanueba,
Po Box 1328,
Durango, CO 81302-1328
Ph: (970) 259-2162 | Jesse Villanueba,
150 Mercury Village Dr,
Durango, CO 81301-8955
Ph: (970) 335-2422 |
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