Organization Active NPI

Aguayo Therapeutic Services LLC

Doing business as Elizabeth Aguayo LCSW

  • Clinical Social Worker
  • Chesterton, IN
National Provider Identifier
1104606011
Registry record updated Nov 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
AGUAYO THERAPEUTIC SERVICES LLC
Doing business as
Elizabeth Aguayo LCSW
Practice address
119 Broadway Ste 108
Chesterton, IN 46304-2477
Phone
(219) 281-2276
NPI assigned
Sep 29, 2023
Last updated
Nov 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Elizabeth Ann Aguayo, LCSWNPI 1942287289
Title
Owner
Phone
(219) 281-2276

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

119 Broadway Ste 108
Chesterton, IN 46304-2477

Mailing address

436 Spring Canyon Dr
Hebron, IN 46341-8627
Phone (219) 433-3741

Other names 1

  • Elizabeth Aguayo LCSW Doing business as

National Provider Directory

National Provider Directory

Locations

119 Broadway
Ste 108
Chesterton, IN 46304
Phone (219) 281-2276

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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"
        }
    ]
}

Other providers in Chesterton, IN

Sources for this page

  • 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.