Brianda Villa, LCSW 101918
Social Worker, Clinical in Pomona, CA. Individual provider (NPI-1).
NPI number1669925384
StatusActive
Last updated in NPPESDec 6, 2021
Details
- NPI
- 1669925384
- Entity type
- Individual (NPI-1)
- Name
- Brianda Villa
- Credential
- LCSW 101918
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2016
- Certification date
- Jul 1, 2021
- Last updated
- Dec 6, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 101918 | CA | Yes |
Practice location
801 Corporate Center Dr Ste 202Pomona, CA 91768-2628
Phone 909-766-7060 · Fax 909-992-3177
Mailing address
Po Box 1075Ontario, CA 91762-0075
Phone 909-247-4651
Other practice locations
1556 S Sultana Ave
Ontario, CA 91761-4238
Ontario, CA 91761-4238
Phone 909-418-6923 · Fax 909-418-6937
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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