MARY VILLAVICENCIO
NPI 1053742239
Case Manager/Care Coordinator in San Bernardino, CA

Active since December 12, 2013
104 W 4TH ST, SAN BERNARDINO, CA 92415(909) 382-7880 Get Directions Write a Review

NPPES record last updated: January 27, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Villavicencio NPPES

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

MARY VILLAVICENCIO (NPI 1053742239) is an individual case manager/care coordinator provider in San Bernardino, California and active in the NPI registry since December 2013.

NPPES Registry Identity

NPI1053742239
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameMARY VILLAVICENCIO
Location Address104 W 4TH STSan Bernardino, CA 92415-0035
Mailing Address104 W 4th StSan Bernardino, CA 92415-0035 · (909) 382-7880
Sole ProprietorNo
Enumeration DateDecember 12, 2013
Last NPPES UpdateJanuary 27, 2014
NPI 1053742239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

104 W 4TH ST, San Bernardino, CA 92415

Other Providers at the Same Location NPPES 18

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

Social Worker
104 W 4TH ST
SAN BERNARDINO, CA 92415
Counselor (Addiction (Substance Use Disorder))
104 W 4TH ST
SAN BERNARDINO, CA 92415
Counselor (Addiction (Substance Use Disorder))
104 W 4TH ST
SAN BERNARDINO, CA 92415
Day Training/Habilitation Specialist
104 W 4TH ST
SAN BERNARDINO, CA 92415
Day Training/Habilitation Specialist
104 W 4TH ST
SAN BERNARDINO, CA 92415
Counselor (Addiction (Substance Use Disorder))
104 W 4TH ST
SAN BERNARDINO, CA 92415
Case Manager/Care Coordinator
104 W 4TH ST
SAN BERNARDINO, CA 92415
Day Training/Habilitation Specialist
104 W 4TH ST
SAN BERNARDINO, CA 92415

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 Mary Villavicencio's NPI number?

The NPI number for Mary Villavicencio is 1053742239. It was assigned to this individual provider in the NPPES registry on December 12, 2013.

Where is Mary Villavicencio located?

Mary Villavicencio practices at 104 W 4th St, San Bernardino, CA 92415. The listed phone number is (909) 382-7880.

What is Mary Villavicencio's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Mary Villavicencio was last updated on January 27, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.