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

Q: 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.

Q: What is Mary Villavicencio's specialty?

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

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: August 16, 2026.

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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

Phone(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

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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.

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