Provider Demographics
NPI:1215395660
Name:AGUINALDO, LAIKA (LICSW)
Entity Type:Individual
Prefix:MS
First Name:LAIKA
Middle Name:
Last Name:AGUINALDO
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:266 BEACON ST
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02116-1224
Mailing Address - Country:US
Mailing Address - Phone:617-906-6445
Mailing Address - Fax:617-906-6445
Practice Address - Street 1:266 BEACON ST
Practice Address - Street 2:4TH FLOOR
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02116-1224
Practice Address - Country:US
Practice Address - Phone:617-906-6445
Practice Address - Fax:617-906-6445
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-31
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1190751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical