Individual provider Active NPI

Kellyann Aguiar, LCSW

  • Clinical Social Worker
  • Fall River, MA
National Provider Identifier
1639301252
Registry record updated Aug 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
215453 Issued in MA
Practice address
503 William St
Fall River, MA 02721-1222
Phone
(508) 676-3715
NPI assigned
Aug 15, 2009
Last updated
Aug 15, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2009

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 215453 MA Primary

Addresses

Primary practice location

503 William St
Fall River, MA 02721-1222

Mailing address

503 William St
Fall River, MA 02721-1222
Phone (508) 676-3715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20260106003520 MA Practitioner - Clinical Social Worker 2668968983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

200 Mill Rd
Fairhaven, MA 02719-5252

200 Mill Rd
Suite 180
Fairhaven, MA 02719-5255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
215453MAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southcoast Physicians Group, Inc. CurrentSince Oct 30, 2025 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Oct 30, 2025 Accepting new patients

Locations

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1250294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250294400000",
    "number": "1639301252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 WILLIAM ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027211222",
            "telephone_number": "508-676-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 WILLIAM ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027211222",
            "telephone_number": "508-676-3715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUIAR",
        "first_name": "KELLYANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-15",
        "last_updated": "2009-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "215453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.