Provider Demographics
NPI:1386938546
Name:VILLENA, DIANA CECILIA (LCSW 98134)
Entity type:Individual
Prefix:MISS
First Name:DIANA
Middle Name:CECILIA
Last Name:VILLENA
Suffix:
Gender:F
Credentials:LCSW 98134
Other - Prefix:
Other - First Name:DIANA
Other - Middle Name:CECILIA
Other - Last Name:HIGHSMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:25836 OLIVAS PARK RD
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-2414
Mailing Address - Country:US
Mailing Address - Phone:818-514-5922
Mailing Address - Fax:
Practice Address - Street 1:25836 OLIVAS PARK RD
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-2414
Practice Address - Country:US
Practice Address - Phone:818-514-5922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-06
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
CAASW606831041C0700X
CA981341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker