Agustin Alfonso Aguirre Herrera

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LC200002907 Issued in DC

Practice address

5503 43Rd Ave
Hyattsville, MD 20781-2078

Phone

(202) 810-1624

NPI assigned

Sep 8, 2021

Last updated

Mar 15, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Whitman-Walker Clinic, Inc.Group PAC ID 6507755196, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Whitman-Walker Clinic, Inc

  dba Whitman-Walker Health

  • Federally Qualified Health Center (FQHC)
  • Washington, DC
  • NPI 1184616617
  Medicare reassignment Care Compare group NPD
• Sacred Mountains Limited Liability Company

  dba Sacred Mountains Therapy LLC

  • Clinical Social Worker
  • Hyattsville, MD
  • NPI 1669231346
  NPD Authorized official
• Whitman-Walker Clinic Inc.

  dba Whitman-Walker Pharmacy

  • Community/Retail Pharmacy
  • Washington, DC
  • NPI 1003316316
  NPD
• Latin American Youth Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Washington, DC
  • NPI 1598805335
  NPD (past)
• Latin American Youth Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Washington, DC
  • NPI 1851830665
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1376212985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5503 43RD AVE",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207811906",
            "telephone_number": "202-375-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5503 43RD AVE",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207812078",
            "telephone_number": "202-810-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUIRRE HERRERA",
        "first_name": "AGUSTIN",
        "middle_name": "ALFONSO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-08",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DC",
            "license": "LC200002907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecilia Agha
• Theodore Agha
• Agneus Health Care Services
• Juan F Agramonte
• Rina Aguilera
• Brian Ndam Agum
• Calistus Agwo
• Amani Ahmed, MSW
• Alaine Ainsley, MD
• Temitope Ajayi

• Social Worker in Hyattsville, MD
• Providers in Hyattsville, MD by specialty
• Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.