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AMADO DIZON VICENCIO JR. BA
NPI 1861066938
Case Manager/Care Coordinator in Las Vegas, NV

Active since May 13, 2021
4285 N RANCHO DR STE 130, LAS VEGAS, NV 89130(702) 385-5331(702) 385-5678 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 6, 2024, May 13, 2021 (2 updates tracked since 2021).

About Amado Dizon Vicencio Jr. Ba NPPES

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

AMADO DIZON VICENCIO JR. BA (NPI 1861066938) is an individual case manager/care coordinator provider in Las Vegas, Nevada and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1861066938
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameAMADO DIZON VICENCIO JR.Credential: BA
Location Address4285 N RANCHO DR STE 130Las Vegas, NV 89130-3455
Mailing Address10100 Elida RdDelphos, OH 45833-9056 · (419) 695-8010 · Fax (419) 695-0004
Phone(702) 385-5331
Fax(702) 385-5678
Sole ProprietorNo
Enumeration DateMay 13, 2021
Last NPPES UpdateJune 6, 20242 updates tracked since enumeration
NPPES CertifiedJune 6, 2024
✔ NPI 1861066938 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.
4285 N RANCHO DR STE 130, Las Vegas, NV 89130
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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.

CHRISTY KAY WHITE
Rehabilitation Practitioner
4285 N RANCHO DR STE 130
LAS VEGAS, NV 89130
Clark County (702) 385-5331
BETHANY COPPA
Rehabilitation Practitioner
4285 N RANCHO DR STE 130
LAS VEGAS, NV 89130
Clark County (702) 385-5331
KIMBERLY BOYD
Rehabilitation Practitioner
4285 N RANCHO DR STE 130
LAS VEGAS, NV 89130
Clark County (702) 385-5331
BRIANNA T ARREDONDO MSW
Rehabilitation Practitioner
4285 N RANCHO DR STE 130
LAS VEGAS, NV 89130
Clark County (702) 385-5331
MR. ERROL EDWARD SMALL JR. MA
Rehabilitation Practitioner
4285 N RANCHO DR STE 130
LAS VEGAS, NV 89130
Clark County (702) 385-5331
JOAN V STUSSY MSW
Social Worker
4285 N RANCHO DR STE 130
LAS VEGAS, NV 89130
Clark County (702) 385-5331
WILLIAM SUDDUTH M ED., MFT
Marriage & Family Therapist
4285 N RANCHO DR STE 130
LAS VEGAS, NV 89130
Clark County (702) 385-5331
YESENIA RAMIREZ
Rehabilitation Practitioner
4285 N RANCHO DR STE 130
LAS VEGAS, NV 89130
Clark County (702) 385-5331

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 Amado Vicencio's NPI number?

The NPI number for Amado Vicencio is 1861066938. It was assigned to this individual provider in the NPPES registry on May 13, 2021.

Where is Amado Vicencio located?

Amado Vicencio practices at 4285 N Rancho Dr Ste 130, Las Vegas, NV 89130. The listed phone number is (702) 385-5331.

What is Amado Vicencio'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 Amado Vicencio was last updated on June 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.