Angie Aquino, ASW
Individual provider Active NPI Clinical Social Worker · Campo, CA
NPI 1982432456 · NPPES record last updated Jul 25, 2024
Key facts
- NPI
- 1982432456
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 325639 (CA)
- Practice address
- 1654 Buckman Springs Rd
Campo, CA 91906-2004 - Phone
- (619) 478-5583
- NPI assigned
- Jul 25, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 325639 | CA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 325639 | CA | Yes |
Addresses
Primary practice location
1654 Buckman Springs Rd
Campo, CA 91906-2004
Mailing address
621 Cadman St
San Diego, CA 92114-3213
Phone (619) 717-1570
Other providers in Campo, CA
- Andrea Acuna Eyraud
- Sandra Estela Alarcon
- Linda Rae Anderson
- Zachary Baker
- Brian M Baldwin
- Caitlyn N Baldwin
- Zachariah Ryan Barrett
- Peter Murray Baum
All providers in Campo, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2024. 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.