Jaime Aguilar

Individual provider Active NPI Clinical Social Worker · Pomona, CA

NPI 1831800911 · NPPES record last updated Apr 15, 2025

Key facts

NPI
1831800911
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
ASW128909 (CA)
Practice address
2008 N Garey Ave
Pomona, CA 91767-2722
Phone
(909) 623-6131
Fax
(909) 865-9281
NPI assigned
Dec 8, 2022
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
ASW128909CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-City Mental Health Authority Current
since Apr 20, 2025
Accepting new patients
Tri-City Mental Health Center Past
since Apr 20, 2025
Accepting new patients

Locations

2008 N Garey Ave
Pomona, CA 91767
Phone (909) 242-7640

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ASW128909 CA Yes

Addresses

Primary practice location

2008 N Garey Ave
Pomona, CA 91767-2722

Mailing address

13174 17TH St
Chino, CA 91710-4409
Phone (909) 438-4676

Other providers in Pomona, CA

All providers in Pomona, CA · Clinical Social Worker in California

Sources for this page

Verify at the official NPI Registry.