Individual provider Active NPI

Janet Carrasquillo Aguayo, PHD, MSW, MRC

  • Clinical Social Worker
  • Ocoee, FL
National Provider Identifier
1821790031
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15044 Issued in PR
Practice address
2298 Mountain Pine St
Ocoee, FL 34761-8528
Phone
(321) 578-1105
NPI assigned
Mar 21, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 15044 PR
School Social Worker 1041S0200X 15044 PR
Clinical Social Worker 1041C0700X 15044 PR Primary

Addresses

Primary practice location

2298 Mountain Pine St
Ocoee, FL 34761-8528

Mailing address

2298 Mountain Pine St
Ocoee, FL 34761-8528
Phone (321) 578-1105

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
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1821790031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2298 MOUNTAIN PINE ST",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347618528",
            "telephone_number": "321-578-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2298 MOUNTAIN PINE ST",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347618528",
            "telephone_number": "321-578-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRASQUILLO AGUAYO",
        "first_name": "JANET",
        "name_prefix": "Dr.",
        "credential": "PHD, MSW, MRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PR",
            "license": "15044",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "PR",
            "license": "15044",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "15044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.