Allyson Raye Aguirre, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW66162 Issued in CA

Practice address

605 W. H. St.
Suite 103
Brawley, CA 92227

Phone

(442) 279-6490

Fax

(951) 849-1762

NPI assigned

Nov 18, 2008

Last updated

Dec 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Allyson Kellum Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1992950018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 W. H. ST.",
            "address_2": "SUITE 103",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "92227",
            "telephone_number": "442-279-6490",
            "fax_number": "951-849-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 W. H. ST.",
            "address_2": "SUITE 103",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "92227",
            "telephone_number": "442-279-6490",
            "fax_number": "951-849-1762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUIRRE",
        "first_name": "ALLYSON",
        "middle_name": "RAYE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-18",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW66162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLYSON",
            "last_name": "KELLUM",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nabil H. Abbassi, M.D.
• Maria Jeana Lou Ragay Acabal, CRNA
• Mohammad Igbal Admani, MD
• Mario Alberto Aguirre, FNP
• Nickolas Palacio Aguirre, NP
• Ahora Wellness Centers LLC
• Ajanamjot K Grewal MD Inc
• Teresa Ilene Bero Alcantara, CRNA

• Clinical Social Worker in Brawley, CA
• Providers in Brawley, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.