Samuel Jesse Villa, is a
Social Worker based in Fresno, California. Samuel Jesse Villa is licensed to practice in California (license number 106774) and his current practice location is
3451 W Shaw Ave, Fresno, California. He can be reached at his office (for appointments etc.) via phone at
(559) 314-3519.
NPI number for Samuel Jesse Villa is 1326651399 and his current mailing address is 4546 W Monte Verde Ave, Visalia, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1326651399.
Healthcare Provider's Profile
| Full Name | Samuel Jesse Villa |
|---|
| Gender | Male |
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| Speciality | Social Worker |
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| Location | 3451 W Shaw Ave, Fresno, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1326651399
- Provider Enumeration Date: 08/28/2020
- Last Update Date: 06/01/2023
Medical Identifiers
Medical identifiers for Samuel Jesse Villa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326651399 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 106774 (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. Samuel Jesse Villa 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 |
|---|
Samuel Jesse Villa,
4546 W Monte Verde Ave,
Visalia, CA 93277-8894
Ph: (559) 623-4139 | Samuel Jesse Villa,
3451 W Shaw Ave,
Fresno, CA 93711-3242
Ph: (559) 314-3519 |
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