Elizabeth A Aguayo, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34006074A Issued in IN

Practice address

119 Broadway Ste 108
Chesterton, IN 46304-2477

Phone

(219) 433-3741

NPI assigned

Dec 28, 2005

Last updated

Oct 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Porter-Starke Services Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Valparaiso, IN
  • NPI 1689627598
  Medicare reassignment NPD
• Aguayo Therapeutic Services LLC

  dba Elizabeth Aguayo LCSW

  • Clinical Social Worker
  • Chesterton, IN
  • NPI 1104606011
  NPD Authorized official
• Porter-Starke Services Inc.

  • Federally Qualified Health Center (FQHC)
  • Valparaiso, IN
  • NPI 1659196236
  NPD

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1942287289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 SPRING CANYON DR",
            "city": "HEBRON",
            "state": "IN",
            "postal_code": "463418627",
            "telephone_number": "219-433-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 BROADWAY STE 108",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463042477",
            "telephone_number": "219-433-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUAYO",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "87001144A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006074A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01951856",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN MEDICARE",
            "identifier": "651990045",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lily Adney, RBT
• Frank E Aerts, PT
• Hanna Agemy
• Amarnath Badriprasad Agrawal, M.D.
• Aguayo Therapeutic Services LLC (Elizabeth Aguayo LCSW)
• Michael Ahearn, ATC
• Ahmad R. Sprouse
• Kennedy Albertsman, OTR/L
• Joshua M Allen, PA-C
• Allied Therapeutic LLC

• Clinical Social Worker in Chesterton, IN
• Providers in Chesterton, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.