Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacquelyn Alyssa Villasenor, ASW

Individual provider Clinical Social Worker · NPI 1104492057

Jacquelyn Alyssa Villasenor, ASW is a Clinical Social Worker in North Hills, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

15305 Rayen St
North Hills, CA 91343-5117
Phone: (818) 892-3423
Fax: (818) 893-4509
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 99538 (CA)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1104492057
Entity typeIndividual (Type 1)
GenderFemale
Credentials ASW
Sole proprietorYes
NPI enumeratedJune 1, 2021
Last updated in NPPESJune 30, 2023
Certification dateJune 30, 2023

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