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

Samuel Jesse Villa

Individual provider Mental Health Counselor · NPI 1326651399

Samuel Jesse Villa is a Clinical Social Worker in Fresno, California. Qualified in 2021, 5 years ago. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

3451 W Shaw Ave
Fresno, CA 93711-3242
Phone: (559) 314-3519
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 132450 (CA)
Mental Health Counselor Taxonomy 101YM0800X
Social Worker Taxonomy 104100000X · Licence 106774 (CA)

Record details

NPI number1326651399
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 28, 2020
Last updated in NPPESAugust 14, 2025
Certification dateAugust 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Fresno