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MS. JACQUELINE VILLEGAS LCSW
NPI 1487060240
Social Worker - Clinical in Huntington Park, CA

Active since July 01, 2014PECOS Enrolled
2629 CLARENDON AVE FL 2, HUNTINGTON PARK, CA 90255(323) 584-3700 Get Directions Write a Review

NPPES record last updated: June 16, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 16, 2021, Mar 2, 2021, Jan 17, 2017 (3 updates tracked since 2017).

About Ms. Jacqueline Villegas Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JACQUELINE VILLEGAS LCSW (NPI 1487060240) is an individual clinical provider in Huntington Park, California, licensed in California (95888) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Long Beach.

NPPES Registry Identity

NPI1487060240
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. JACQUELINE VILLEGASCredential: LCSW
Location Address2629 CLARENDON AVE FL 2Huntington Park, CA 90255-4119
Mailing Address2629 Clarendon Ave Fl 2Huntington Park, CA 90255-4119 · (323) 584-3700
Phone(323) 584-3700
Sole ProprietorNo
Enumeration DateJuly 1, 2014
Last NPPES UpdateJune 16, 20213 updates tracked since enumeration
NPPES CertifiedJune 16, 2021
✔ NPI 1487060240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 95888
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2629 CLARENDON AVE FL 2, Huntington Park, CA 90255
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Secondary Practice Location 1

Location 11501 Hughes Way Ste 150Long Beach, CA 90810-1878 · Phone (310) 221-6336 ext. 115

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Jacqueline Villegas Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Jacqueline Villegas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Soultenders Psychological Services, Inc.
16 mi
Clinical
41 E FOOTHILL BLVD STE 102
Arcadia, CA 91006
  • Reassigned Medicare billing, California enrollment
  • 255 clinicians in this Medicare group
NPI 1235810722 (626) 701-4249
Soultenders, Inc.
16 mi
Clinical
41 E FOOTHILL BLVD, SUITE 102
Arcadia, CA 91006
  • Reassigned Medicare billing, California enrollment
  • 273 clinicians in this Medicare group
NPI 1164617007 (626) 737-6034

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90255 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HADIJAT WEMMY AUDU MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
2629 CLARENDON AVE FL 2
HUNTINGTON PARK, CA 90255
Los Angeles County (323) 584-3700
YESSENIA ROCHA- LOPEZ LCSW74616
Social Worker (Clinical)
2629 CLARENDON AVE FL 2
HUNTINGTON PARK, CA 90255
Los Angeles County (323) 584-3700
CARLY A ROMERO
Student in an Organized Health Care Education/Training Program
2629 CLARENDON AVE FL 2
HUNTINGTON PARK, CA 90255
Los Angeles County (323) 584-3732
ROXANA ISLAS
Social Worker (Clinical)
2629 CLARENDON AVE FL 2
HUNTINGTON PARK, CA 90255
Los Angeles County (323) 584-3700
ELMER MAURICIO FLORES
Student in an Organized Health Care Education/Training Program
2629 CLARENDON AVE FL 2
HUNTINGTON PARK, CA 90255
Los Angeles County (323) 584-3700
LORENA HERNANDEZ CM
Social Worker (Clinical)
2629 CLARENDON AVE FL 2
HUNTINGTON PARK, CA 90255
Los Angeles County (323) 584-3754
MATTHEW SHECHMEISTER
Student in an Organized Health Care Education/Training Program
2629 CLARENDON AVE FL 2
HUNTINGTON PARK, CA 90255
Los Angeles County (323) 584-3700
MR. JOSE TRINIDAD DURAN ALCALA STUDENT INTERN
Student in an Organized Health Care Education/Training Program
2629 CLARENDON AVE FL 2
HUNTINGTON PARK, CA 90255
Los Angeles County (323) 584-3710

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Villegas's NPI number?

The NPI number for Jacqueline Villegas is 1487060240. It was assigned to this individual provider in the NPPES registry on July 1, 2014.

Where is Jacqueline Villegas located?

Jacqueline Villegas practices at 2629 Clarendon Ave Fl 2, Huntington Park, CA 90255. The listed phone number is (323) 584-3700.

What is Jacqueline Villegas's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jacqueline Villegas enrolled in Medicare?

Yes. Jacqueline Villegas is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jacqueline Villegas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Villegas reassigns Medicare benefits to 2 organizations: Soultenders Psychological Services, Inc. (Arcadia, CA) and Soultenders, Inc. (Arcadia, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Villegas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacqueline Villegas was last updated on June 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.