Fatima Moused Aguirre, MSW
Individual provider Active NPI Social Worker · Redding, CA
NPI 1881866176 · NPPES record last updated Nov 14, 2013
Key facts
- NPI
- 1881866176
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 25104 (CA)
- Practice address
- 855 Canyon Road
Redding, CA 96001 - Phone
- (530) 378-1855
- NPI assigned
- Mar 27, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Social Worker | 104100000X | 25104 | CA | Yes |
Addresses
Primary practice location
855 Canyon Road
Redding, CA 96001
Mailing address
855 Canyon Rd
Redding, CA 96001-5544
Phone (530) 378-1855
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.