Individual provider · NPI-1
Casandra Aguilar, LCSW
Social Worker, Clinical · Riverside, CA
NPI number1821612862
StatusActive
Last updated in NPPESOct 23, 2023
Details
- NPI
- 1821612862
- Entity type
- Individual (NPI-1)
- Name
- Miss Casandra Aguilar
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 5, 2020
- Certification date
- Oct 23, 2023
- Last updated
- Oct 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 115396 | CA | Yes |
Practice location
3933 Harrison StRiverside, CA 92503-3523
Phone 833-391-0505
Mailing address
3933 Harrison StRiverside, CA 92503-3523
Phone 833-391-0505
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