Agustin Alfonso Aguirre Herrera
Individual provider Active NPI Social Worker · Hyattsville, MD
NPI 1376212985 · NPPES record last updated Mar 15, 2024
Key facts
- NPI
- 1376212985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- LC200002907 (DC)
- Practice address
- 5503 43Rd Ave
Hyattsville, MD 20781-2078 - Phone
- (202) 810-1624
- NPI assigned
- Sep 8, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Whitman-Walker Clinic, Inc.
Practice addresses (Care Compare)
1377 R St NW
FL 2
Washington, DC 20009-6293
Phone (202) 745-7000
1432 U St NW
Washington, DC 20009-3916
Phone (202) 797-3500
1701 14TH St NW
Elizabeth Taylor Medical Center
Washington, DC 20009-4308
Phone (202) 745-7000
1734 14TH St NW
Washington, DC 20009-4796
Phone (202) 939-7801
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240618000374 | DC | Practitioner - Clinical Social Worker | 0648713743 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whitman-Walker Clinic Inc. | Current |
Accepting new patients | |
| Sacred Mountains Limited Liability Company | Current |
Accepting new patients | |
| Whitman-Walker Clinic, Inc | Current |
Accepting new patients | |
| Latin American Youth Center | Past |
Accepting new patients | |
| Latin American Youth Center | Past |
Accepting new patients |
Locations
1701 14th St NW
Washington, DC 20009
Phone (202) 745-7000
1734 14th St NW
Washington, DC 20009
Phone (202) 939-7801
1377 R St NW
Fl 2
Washington, DC 20009
Phone (202) 745-7000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LC200002907 | DC | Yes |
Addresses
Primary practice location
5503 43Rd Ave
Hyattsville, MD 20781-2078
Mailing address
5503 43Rd Ave
Hyattsville, MD 20781-1906
Phone (202) 375-8381
Other providers in Hyattsville, MD
- Cecilia Agha
- Theodore Agha
- Agneus Health Care Services
- Juan F Agramonte
- Rina Aguilera
- Brian Ndam Agum
- Calistus Agwo
- Amani Ahmed
- Alaine Ainsley
- Temitope Ajayi
All providers in Hyattsville, MD · Social Worker in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.