Active NPI
Alyssa Aguirre, LCSW
- Clinical Social Worker
- Glendale, AZ
National Provider Identifier
1891326211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-19260
- Practice address
- 17431 N 71St Dr Ste 101
Glendale, AZ 85308-8598 - Phone
- (623) 680-3469
- NPI assigned
- Feb 4, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05870600 | NJ | |
| Clinical Social Worker | 1041C0700X | LCSW-19260 | AZ | Primary |
Addresses
Primary practice location
17431 N 71St Dr Ste 101
Glendale, AZ 85308-8598
Mailing address
17431 N 71St Dr Ste 101
Glendale, AZ 85308-8598
Phone (623) 680-3469
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-19260 | AZ | MD | Clinical Social Worker |
| 44SC05870600 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enhance the Community, Inc. | Current | Accepting new patients | |
| Enhance Counseling & Wellness LLC | Current | Accepting new patients |
Locations
17431 N 71st Dr
Ste 101
Glendale, AZ 85308
Phone (623) 680-3469
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Glendale, AZ
- NPI 1013542778
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Glendale, AZ
- NPI 1306520028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669939200000",
"number": "1891326211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17431 N 71ST DR STE 101",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853088598",
"telephone_number": "623-680-3469",
"fax_number": "623-248-3389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17431 N 71ST DR STE 101",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853088598",
"telephone_number": "623-680-3469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUIRRE",
"first_name": "ALYSSA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-04",
"last_updated": "2022-12-02",
"certification_date": "2022-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05870600",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LCSW-19260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.