Provider Demographics
NPI:1043997422
Name:AGUINIGA, JOSIE MAE (LMSW)
Entity Type:Individual
Prefix:
First Name:JOSIE
Middle Name:MAE
Last Name:AGUINIGA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:IA
Mailing Address - Zip Code:51433-0006
Mailing Address - Country:US
Mailing Address - Phone:515-229-4858
Mailing Address - Fax:
Practice Address - Street 1:180 10TH ST SE STE 201
Practice Address - Street 2:
Practice Address - City:LE MARS
Practice Address - State:IA
Practice Address - Zip Code:51031-2557
Practice Address - Country:US
Practice Address - Phone:712-792-2991
Practice Address - Fax:712-792-3067
Is Sole Proprietor?:No
Enumeration Date:2023-06-28
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA112904104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker