Individual provider Active NPI

Patricia Isabel Aguirre, LCSW,PHD

  • Clinical Social Worker
  • San Mateo, CA
National Provider Identifier
1164575106
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW 6971 Issued in CA
Practice address
39 N San Mateo Dr # 8
San Mateo, CA 94401-2885
Phone
(650) 344-4100
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
Yes

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LCSW 6971CAMDClinical Social Worker

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW 6971 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

39 N San Mateo Dr # 8
San Mateo, CA 94401-2885

Mailing address

512 Francisco Dr
Burlingame, CA 94010-2723
Phone (650) 343-5765

Other names 1

NPPES NPI Registry
  • Mrs. Patricia Aguirre Lugerner Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164575106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 FRANCISCO DR",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940102723",
            "telephone_number": "650-343-5765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 N SAN MATEO DR # 8",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012885",
            "telephone_number": "650-344-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUIRRE",
        "first_name": "PATRICIA",
        "middle_name": "ISABEL",
        "name_prefix": "Dr.",
        "credential": "LCSW,PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW 6971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "LUGERNER",
            "middle_name": "AGUIRRE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.