Active NPI
Aguayo Therapeutic Services LLC
Doing business as Elizabeth Aguayo LCSW
- Clinical Social Worker
- Chesterton, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Elizabeth Ann Aguayo, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Chesterton, IN
- NPI 1942287289
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.