Provider Demographics
NPI:1699023937
Name:VILLARRAGA, GINA (LCSW 27001)
Entity type:Individual
Prefix:MS
First Name:GINA
Middle Name:
Last Name:VILLARRAGA
Suffix:
Gender:F
Credentials:LCSW 27001
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2321 E. 4TH ST.
Mailing Address - Street 2:C#423
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705
Mailing Address - Country:US
Mailing Address - Phone:949-438-0423
Mailing Address - Fax:
Practice Address - Street 1:2321 E. 4TH ST.
Practice Address - Street 2:C#423
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705
Practice Address - Country:US
Practice Address - Phone:949-438-0423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-16
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA270011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical