Andrew Philip Aja, LCSW

Individual provider Active NPI Clinical Social Worker · Carson, CA

NPI 1447641816 · NPPES record last updated Oct 6, 2023

Key facts

NPI
1447641816
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
118267 (CA)
Practice address
649 E Albertoni St Ste 100
Carson, CA 90746
Phone
(310) 436-9300
NPI assigned
Feb 6, 2015
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
118267CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Star View Behavioral Health, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 118267 CA Yes

Addresses

Primary practice location

649 E Albertoni St Ste 100
Carson, CA 90746

Mailing address

649 E Albertoni St
Carson, CA 90746-1538
Phone (562) 370-8804

Other providers in Carson, CA

All providers in Carson, CA · Clinical Social Worker in California

Sources for this page

Verify at the official NPI Registry.