Ruby Aguilar

Individual provider Active NPI Clinical Social Worker · Yakima, WA

NPI 1083962641 · NPPES record last updated Mar 31, 2020

Key facts

NPI
1083962641
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
LW60450427 (WA)
Practice address
918 E Mead Ave
Yakima, WA 98903-3720
Phone
(509) 453-1344
Fax
(509) 453-2209
NPI assigned
Aug 29, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
SC60303265WAMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X SC60303265 WA
Clinical Social Worker 1041C0700X LW60450427 WA Yes

Addresses

Primary practice location

918 E Mead Ave
Yakima, WA 98903-3720

Mailing address

918 E Mead Ave
Yakima, WA 98903-3720
Phone (509) 453-1344

Other providers in Yakima, WA

All providers in Yakima, WA · Clinical Social Worker in Washington

Sources for this page

Verify at the official NPI Registry.