Individual provider Active NPI

Carmen Maria Aguilar, LSCSW

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1942597505
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
05611 Issued in KS
Practice address
2312 S Meridian Ave Ste 102
Wichita, KS 67213
Phone
(316) 807-5055
NPI assigned
Jul 5, 2011
Last updated
Dec 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 05611 KS Primary

Addresses

Primary practice location

2312 S Meridian Ave Ste 102
Wichita, KS 67213

Mailing address

2750 S Glenn Ave
Wichita, KS 67217-1843
Phone (316) 807-5055

Other identifiers 2

IdentifierTypeStateIssuer
30004569780001MedicaidKS
200733820BMedicaidKS

Other names 1

  • Maria Del Carmen Ojeda Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20211213002017 KS Practitioner - Clinical Social Worker 8224428925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2312 S Meridian Ave
Suite 102
Wichita, KS 67213-1912
Phone (316) 807-5055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05611KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nuevo Amanecer LLC CurrentSince Nov 8, 2021 Accepting new patients

Locations

2312 S Meridian Ave
Ste 102
Wichita, KS 67213
Phone (316) 807-5055

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1942597505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 S GLENN AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672171843",
            "telephone_number": "316-807-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 S MERIDIAN AVE STE 102",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67213",
            "telephone_number": "316-807-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILAR",
        "first_name": "CARMEN",
        "middle_name": "MARIA",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-05",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "05611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004569780001",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200733820B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "OJEDA",
            "middle_name": "DEL CARMEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.