Provider Demographics
NPI:1053662494
Name:AGUILAR, CELESTE MARIE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CELESTE
Middle Name:MARIE
Last Name:AGUILAR
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:CELESTE
Other - Middle Name:
Other - Last Name:RIVERA-AGUILAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:5800 3RD AVE
Mailing Address - Street 2:MANAGED CARE DEPARTMENT
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-3702
Mailing Address - Country:US
Mailing Address - Phone:718-630-7824
Mailing Address - Fax:718-630-7437
Practice Address - Street 1:514 49TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-2010
Practice Address - Country:US
Practice Address - Phone:718-437-5248
Practice Address - Fax:718-437-5239
Is Sole Proprietor?:No
Enumeration Date:2012-09-25
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY083533-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker