Marcelino Rufino Vicente Jr., LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13642 Issued in MD

Practice address

6304 Kenwood Ave Ste 2a
Baltimore, MD 21237-2085

Phone

(410) 687-7700

Fax

(410) 687-7702

NPI assigned

Aug 9, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502236800000",
    "number": "1164947289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 HALCYON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212142535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6304 KENWOOD AVE STE 2A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212372085",
            "telephone_number": "410-687-7700",
            "fax_number": "410-687-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICENTE",
        "first_name": "MARCELINO",
        "middle_name": "RUFINO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-09",
        "last_updated": "2017-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vibrant ABA Maryland LLC
• Vibrant Assisted Living
• Megan Marion Vicchio-Pippens, MSW, LCSW-C
• Candace Vice
• Morgan J Vice, LCPC
• Tanzania Vicino, CNM
• Sarah Nicole Vick, MD
• Barbara Ann Vickers, M.D.
• Victabol Healthcare
• Victoire Health Services, Inc

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.