Individual provider Active NPI

Tracy Aguilar

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1467901728
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS20642 Issued in CA
Practice address
4221 Wilshire Blvd Ste 290-8
Los Angeles, CA 90010-3530
Phone
(323) 670-0987
NPI assigned
Sep 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS20642 CA Primary

Addresses

Primary practice location

4221 Wilshire Blvd Ste 290-8
Los Angeles, CA 90010-3530

Mailing address

4221 Wilshire Blvd Ste 290-8
Los Angeles, CA 90010-3530
Phone (323) 670-0987

Other practice location 1

2040 S Alma School Rd Ste 21
Chandler, AZ 85286-7077
Phone (323) 670-0987

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS20642CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1467901728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 WILSHIRE BLVD STE 290-8",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103530",
            "telephone_number": "323-670-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 WILSHIRE BLVD STE 290-8",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103530",
            "telephone_number": "323-670-0987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2040 S Alma School Rd Ste 21",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852867077",
            "country_code": "US",
            "telephone_number": "323-670-0987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGUILAR",
        "first_name": "TRACY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-28",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS20642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.