Provider Demographics
NPI:1972355956
Name:VILLEGAS, ALICIA (LCSW)
Entity type:Individual
Prefix:MS
First Name:ALICIA
Middle Name:
Last Name:VILLEGAS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4221 WILSHIRE BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90010-3504
Mailing Address - Country:US
Mailing Address - Phone:323-930-6289
Mailing Address - Fax:323-938-1036
Practice Address - Street 1:4221 WILSHIRE BLVD STE 400
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90010-3504
Practice Address - Country:US
Practice Address - Phone:323-938-3379
Practice Address - Fax:323-938-1036
Is Sole Proprietor?:No
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA876491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical