Provider Demographics
NPI:1114280542
Name:AGUILAR, CARLA LINDA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CARLA
Middle Name:LINDA
Last Name:AGUILAR
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1933 SOMERSBY LN
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23456-7834
Mailing Address - Country:US
Mailing Address - Phone:757-427-5974
Mailing Address - Fax:757-689-3525
Practice Address - Street 1:1933 SOMERSBY LN
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23456-7834
Practice Address - Country:US
Practice Address - Phone:757-427-5974
Practice Address - Fax:757-689-3525
Is Sole Proprietor?:No
Enumeration Date:2012-06-20
Last Update Date:2014-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040047041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical