Provider Demographics
NPI:1295168227
Name:VIGIL, ARACELI (LCSW)
Entity type:Individual
Prefix:
First Name:ARACELI
Middle Name:
Last Name:VIGIL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:737 W CHILDS AVE
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95341-6805
Mailing Address - Country:US
Mailing Address - Phone:209-383-1838
Mailing Address - Fax:209-383-1296
Practice Address - Street 1:4150 PATTERSON ROAD
Practice Address - Street 2:
Practice Address - City:RIVERBANK
Practice Address - State:CA
Practice Address - Zip Code:95367-9536
Practice Address - Country:US
Practice Address - Phone:209-863-3990
Practice Address - Fax:209-863-3999
Is Sole Proprietor?:No
Enumeration Date:2013-08-13
Last Update Date:2016-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
CA341961041C0700X
CALCSW695331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional