Provider Demographics
NPI:1164575106
Name:AGUIRRE, PATRICIA ISABEL (LCSW,PHD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:ISABEL
Last Name:AGUIRRE
Suffix:
Gender:F
Credentials:LCSW,PHD
Other - Prefix:MRS
Other - First Name:PATRICIA
Other - Middle Name:AGUIRRE
Other - Last Name:LUGERNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:512 FRANCISCO DR
Mailing Address - Street 2:
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-2723
Mailing Address - Country:US
Mailing Address - Phone:650-343-5765
Mailing Address - Fax:
Practice Address - Street 1:39 N SAN MATEO DR # 8
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401-2885
Practice Address - Country:US
Practice Address - Phone:650-344-4100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW 69711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical