Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ingrid Vicencio

Individual provider Clinical Social Worker · NPI 1497162119

Ingrid Vicencio is a Clinical Social Worker in Riverside, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2014

Practice location Address checks out

4164 Brockton Ave
Riverside, CA 92501-3400
Phone: (951) 683-5193
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4095 County Circle Dr, Riverside, CA 92503-3410 — (951) 940-6755

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW113871 (CA)

Record details

NPI number1497162119
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 14, 2014
Last updated in NPPESJanuary 13, 2025
Certification dateJanuary 13, 2025

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