MARY VACCA (NPI# 1831749928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831749928 |
| Entity Type | Individual |
| Full Name | MARY VACCA |
| Practice Address |
11 Graham Dr Athens OH 45701-1430 |
| Mailing Address |
Po Box 1595 Columbus OH 43216-1595 |
| Practice Telephone | 8003218293 |
| Mailing Telephone | 9378691053 |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2019-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
11 GRAHAM DR |
| City | ATHENS |
| State | OH |
| Zip Code | 45701-1430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073578431 | Integrated Services for Behavioral Health | Social Worker | 11 Graham Dr, Athens, OH 45701 | 2006-04-19 |
| 1447859459 | Abbey Layne Hobbs | Community Health Worker | 11 Graham Dr, Athens, OH 45701-1430 | 2020-10-21 |
| 1598362915 | Douglas Debrick | Counselor | 11 Graham Dr, Athens, OH 45701-1430 | 2020-10-08 |
| 1083227680 | Tonya Cochran | Community Health Worker | 11 Graham Dr, Athens, OH 45701-1430 | 2020-08-25 |
| 1386278497 | Brenda Sue Ostrander | Counselor | 11 Graham Dr, Athens, OH 45701-1430 | 2020-02-27 |
| 1770117947 | Lisa Michelle Williams | Case Manager/Care Coordinator | 11 Graham Dr, Athens, OH 45701-1430 | 2020-02-26 |
| 1275173619 | Rachel L Juliano | Case Manager/Care Coordinator | 11 Graham Dr, Athens, OH 45701-1430 | 2020-01-14 |
| 1083254429 | Jeffrey Duloz | Case Manager/Care Coordinator | 11 Graham Dr, Athens, OH 45701-1430 | 2020-01-14 |
| 1972141885 | Lauren Delancey | Social Worker | 11 Graham Dr, Athens, OH 45701-1430 | 2019-12-11 |
| 1699313577 | Lee Hughart | Case Manager/Care Coordinator | 11 Graham Dr, Athens, OH 45701-1430 | 2019-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508797 | Vince R Koping | Pharmacist | 929 East State St, Athens, OH 45701 | 2020-11-06 |
| 1164051926 | Rachel Staker | Student in an Organized Health Care Education/Training Program | 86 Circle Drive, Suite 203, Athens, OH 45701 | 2020-04-03 |
| 1932736709 | Maria Augusta Suarez-hamman | Student in an Organized Health Care Education/Training Program | 86 Columbus Circle, Suite 203, Athens, OH 45701 | 2020-03-23 |
| 1831746882 | Justin Joseph Moakler | Specialist/Technologist | Ohio University Athens Training Facility, Grover Center E 187, Athens, OH 45701 | 2019-08-23 |
| 1275186991 | Barry Brady | Psychologist | Hudson Health Center, 3rd Floor 1 Ohio University, Athens, OH 45701 | 2019-07-22 |
| 1821559691 | Mary N Lee | Student in an Organized Health Care Education/Training Program | 1 Ohio Univerisity Dept of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2019-03-26 |
| 1275007692 | Gabrielle Ruth Wesemeyer | Student in an Organized Health Care Education/Training Program | 6 South Congress Street, Athens, OH 45701 | 2019-01-18 |
| 1528551918 | Bradford Thomas Meyers | Psychologist | 1 University Ave, Ohio University, Athens, Oh 45701, Athens, OH 45701 | 2018-06-11 |
| 1912499344 | William Monopoli | Student in an Organized Health Care Education/Training Program | 1 Ohio University Department of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2018-06-01 |
| 1477044113 | 59 Green Ltd. | Taxi | 14 Cook Drive, Athens, OH 45701 | 2018-05-29 |
| Find all providers in zip 45701 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| 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. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891300695 | Cathleen D Heid | Case Manager/Care Coordinator | 400 E State St Ste D, Athens, OH 45701-1856 | 2020-09-09 |
| 1598252074 | Leah Brand | Case Manager/Care Coordinator | 7990 Dairy Ln, Athens, OH 45701-9391 | 2018-04-19 |
| 1770070880 | Suitable for The People Health Services | Case Manager/Care Coordinator | 975 Gaines School Rd Rm D, Athens, GA 30605-3133 | 2018-04-16 |
| 1417312521 | Wanda J Dennis | Case Manager/Care Coordinator | 708 Virginia Avenue, Athens, TN 37303 | 2015-12-17 |
| 1972985695 | Kathryn Salter | Case Manager/Care Coordinator | 240 Ponderosa Dr, Athens, GA 30605-3320 | 2015-06-19 |
| 1295113769 | Brent Dillin Temple | Case Manager/Care Coordinator | 9249 Highway 29 North, Athens, GA 30601 | 2015-05-15 |
| 1801296736 | Sherry Jackson | Case Manager/Care Coordinator | 1711 Prince Ave, Athens, GA 30606-6009 | 2014-08-28 |
| 1497193213 | Sherry Stowe Turnipseed | Case Manager/Care Coordinator | 120 Chestnut Ln, Athens, GA 30606-4602 | 2013-06-14 |
| 1376896001 | Tamara L Daniels | Case Manager/Care Coordinator | 2360 W. Broad St. Apt. W-12, Athens, GA 30606-5656 | 2012-10-18 |
| 1215151972 | Ranelda Lea Scales | Case Manager/Care Coordinator | 1307 East Elm Street, Athens, AL 35611 | 2007-04-12 |
| Find all providers in ATHENS | ||||
Please comment or provide details below to improve the information on MARY VACCA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.