Aguayo Therapeutic Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

AGUAYO THERAPEUTIC SERVICES LLC

Practice address

119 Broadway Ste 108
Chesterton, IN 46304-2477

Phone

(219) 281-2276

NPI assigned

Sep 29, 2023

Organization subpart

No

Name

Mrs. Elizabeth Ann Aguayo, LCSWNPI 1942287289

Title

Owner

Phone

(219) 281-2276

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth A Aguayo, MSW

  • Clinical Social Worker
  • Chesterton, IN
  • NPI 1942287289

  Clinical

  NPD Authorized official

Locations

• Elizabeth Aguayo LCSW Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 24, 2023.

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700784000000",
    "number": "1104606011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 SPRING CANYON DR",
            "city": "HEBRON",
            "state": "IN",
            "postal_code": "463418627",
            "telephone_number": "219-433-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 BROADWAY STE 108",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463042477",
            "telephone_number": "219-281-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGUAYO THERAPEUTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-29",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-24",
        "status": "A",
        "authorized_official_last_name": "AGUAYO",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-281-2276",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elizabeth Aguayo LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jill Lavonne Adams, NP
• Joseph W Adams Jr., MA-COUNSELING
• Lily Adney, RBT
• Hanna Agemy
• Amarnath Badriprasad Agrawal, M.D.
• Elizabeth A Aguayo, MSW
• Michael Ahearn, ATC
• Ahmad R. Sprouse
• Kennedy Albertsman, OTR/L
• Joshua M Allen, PA-C

• All providers in Chesterton, IN
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2023; 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.