Individual provider Active NPI

Tamra Witherspoon Aguilera, LCSW

  • Clinical Social Worker
  • Morganton, NC
National Provider Identifier
1790177368
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C0106791 Issued in NC
Practice address
301 E Meeting St
Morganton, NC 28655-3593
Phone
(828) 437-3000
NPI assigned
Feb 19, 2015
Last updated
Oct 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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 C0106791 NC Primary

Addresses

Primary practice location

301 E Meeting St
Morganton, NC 28655-3593

Mailing address

PO Box 1536
Morganton, NC 28680-1536
Phone (828) 437-3000

Other practice location 1

1109 2nd Ave SW
Hickory, NC 28602-2545
Phone (828) 327-6026

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
C0106791NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1790177368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1536",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286801536",
            "telephone_number": "828-437-3000",
            "fax_number": "828-437-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E MEETING ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286553593",
            "telephone_number": "828-437-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1109 2nd Ave SW",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286022545",
            "country_code": "US",
            "telephone_number": "828-327-6026",
            "fax_number": "828-327-8796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGUILERA",
        "first_name": "TAMRA",
        "middle_name": "WITHERSPOON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-19",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C0106791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.