Individual provider Active NPI

Regis Allen Aguglia III, LCSW-C

  • Social Worker
  • Bel Air, MD
National Provider Identifier
1770921504
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
16003 Issued in MD
Practice address
620 S Main St Ste 103
Bel Air, MD 21014-3943
Phone
(410) 709-8894
NPI assigned
Jun 14, 2013
Last updated
Feb 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 16003 MD Primary

Addresses

Primary practice location

620 S Main St Ste 103
Bel Air, MD 21014-3943

Mailing address

1211 Glastonbury Way
Bel Air, MD 21014-3333
Phone (412) 585-6346

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
16003MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oracle Counseling LLC CurrentSince Oct 1, 2021 Accepting new patients

Locations

620 S Main St
Ste 103
Bel Air, MD 21014
Phone (410) 709-8894

4 E Jarrettsville Rd
Ste C
Forest Hill, MD 21050

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, 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": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1770921504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 GLASTONBURY WAY",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143333",
            "telephone_number": "412-585-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S MAIN ST STE 103",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143943",
            "telephone_number": "410-709-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUGLIA",
        "first_name": "REGIS",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-14",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "16003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.