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MR. MARIO WALTHER VICTOR MSW
NPI 1093853103
Social Worker - Clinical in Fremont, CA

Active since February 01, 2007PECOS Enrolled
39650 LIBERTY ST, FREMONT, CA 94538(510) 498-2890 Get Directions Write a Review

NPPES record last updated: May 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Mario Walther Victor Msw NPPES

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

MR. MARIO WALTHER VICTOR MSW (NPI 1093853103) is an individual clinical provider in Fremont, California, licensed in California (20292) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Cupertino.

NPPES Registry Identity

NPI1093853103
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. MARIO WALTHER VICTORCredential: MSW
Location Address39650 LIBERTY STFremont, CA 94538-2223
Mailing Address325 Distel CirLos Altos, CA 94022-1408 · (510) 498-2890
Phone(510) 498-2890
Sole ProprietorNo
Enumeration DateFebruary 1, 2007
Last NPPES UpdateMay 2, 2023
NPPES CertifiedMay 2, 2023
✔ NPI 1093853103 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 · 20292
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.
39650 LIBERTY ST, Fremont, CA 94538
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Secondary Practice Location 1

Location 119000 Homestead Rd Bldg 2Cupertino, CA 95014-0712 · Phone (408) 366-4451

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Mario Walther Victor Msw 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94538 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 $69.00 – $202.35
Typical copayment $0.00 (range $17.25 – $50.58)
Most-billed visit code NA
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

NEHA RAJKOTIA BADIYANI PT
Physical Therapist
39650 LIBERTY ST
FREMONT, CA 94538
Alameda County (510) 490-1222
ANNA MRELASHVILI M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
39650 LIBERTY ST
FREMONT, CA 94538
Alameda County (408) 524-5700
MS. SHAWNA VIANN WELTON MA
Counselor (Mental Health)
39650 LIBERTY ST
FREMONT, CA 94538
Alameda County (510) 498-2690
ORIANA HUA PT
Physical Therapist
39650 LIBERTY ST
FREMONT, CA 94538
Alameda County (510) 498-3900
ZENAIDA AGRAMONTE
Social Worker (Clinical)
39650 LIBERTY ST
FREMONT, CA 94538
Alameda County (510) 498-2890
ALBERT LIU
Nurse Practitioner (Psychiatric/Mental Health)
39650 LIBERTY ST
FREMONT, CA 94538
Alameda County (510) 498-2890
ALEXANDRA PAPA
Marriage & Family Therapist
39650 LIBERTY ST
FREMONT, CA 94538
Alameda County (510) 498-2890
MRS. TRICIA JOY CELERIDAD PTA
Physical Therapy Assistant
39650 LIBERTY ST
FREMONT, CA 94538
Alameda County (510) 498-3900

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 Mario Victor's NPI number?

The NPI number for Mario Victor is 1093853103. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Where is Mario Victor located?

Mario Victor practices at 39650 Liberty St, Fremont, CA 94538. The listed phone number is (510) 498-2890.

What is Mario Victor's specialty?

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

Is Mario Victor enrolled in Medicare?

Yes. Mario Victor is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mario Victor was last updated on May 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.