Angel R. Aguilar, MSW, ASW
Individual provider Active NPI Clinical Social Worker · Fairfield, CA
NPI 1366707705 · NPPES record last updated May 7, 2013
Key facts
- NPI
- 1366707705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 33872 (CA)
- Practice address
- 801 Empire St
Fairfield, CA 94533-5702 - Phone
- (707) 425-5744
- NPI assigned
- Jul 11, 2012
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CA | ||
| Clinical Social Worker | 1041C0700X | 33872 | CA | Yes |
Addresses
Primary practice location
801 Empire St
Fairfield, CA 94533-5702
Mailing address
801 Empire St
Fairfield, CA 94533-5702
Phone (707) 425-5744
Other providers in Fairfield, CA
- Juliana Agosto
- Randii Agpasan
- Angela Aguayo
- Linsey Suzanne Aguigam-Leach
- Grisel Aguilar Uribe
- Diane Mercedes Aguilar
- Jennifer Jasmine Aguilar
- Rosana M Aguilar
- Erika Aguilera
- Maria Aguiniga
All providers in Fairfield, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.