Active NPI
Maria Soledad Aguilar, LCSW
- Clinical Social Worker
- Long Beach, CA
National Provider Identifier
1144581497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 76304
- Practice address
- 1501 Hughes Way # 105
Long Beach, CA 90810-1876 - Phone
- (310) 436-9300
- NPI assigned
- Jun 4, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 76304 | CA | Primary |
Addresses
Primary practice location
1501 Hughes Way # 105
Long Beach, CA 90810-1876
Mailing address
1501 Hughes Way # 105
Long Beach, CA 90810-1876
Phone (310) 436-9300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FHC11466F | Other | CA | MEDICAL |
| 76304 | Other | CA | LCSW |
| 22071 | Other | CA | ACSW |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76304 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493337600000",
"number": "1144581497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 HUGHES WAY # 105",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908101876",
"telephone_number": "310-436-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 HUGHES WAY # 105",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908101876",
"telephone_number": "310-436-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUILAR",
"first_name": "MARIA",
"middle_name": "SOLEDAD",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-04",
"last_updated": "2017-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "76304",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "FHC11466F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "76304",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACSW",
"identifier": "22071",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.