Samuel Jesse Villa, is a medicare enrolled "Social Worker - Clinical" provider in Fresno, California. He graduated from healthcare school in 2021 and has 5 years of diverse experience with area of expertise as Clinical Social Worker. His current practice location is
3451 W Shaw Ave, Fresno, California. You can reach out to his office (for appointments etc.) via phone at
(559) 314-3519.
Samuel Jesse Villa is licensed to practice in California (license number 132450) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1326651399.
Healthcare Provider's Profile
| Full Name | Samuel Jesse Villa |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 5 Years |
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| Location | 3451 W Shaw Ave, Fresno, California |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Samuel Jesse Villa graduated from medical school in 2021
NPI Data:
- NPI Number: 1326651399
- Provider Enumeration Date: 08/28/2020
- Last Update Date: 08/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 8527569508
- Enrollment ID: I20250830000052
Medical Identifiers
Medical identifiers for Samuel Jesse Villa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1326651399 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 106774 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 132450 (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
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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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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