Provider Demographics
NPI:1306012216
Name:AGUIRRE, EVA DEL ROSARIO (MSW/ASW)
Entity Type:Individual
Prefix:
First Name:EVA
Middle Name:DEL ROSARIO
Last Name:AGUIRRE
Suffix:
Gender:F
Credentials:MSW/ASW
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 945
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:CA
Mailing Address - Zip Code:94560-0945
Mailing Address - Country:US
Mailing Address - Phone:408-898-6462
Mailing Address - Fax:
Practice Address - Street 1:21455 BIRCH ST # 201
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94541-2165
Practice Address - Country:US
Practice Address - Phone:408-898-6462
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-01
Last Update Date:2023-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1055831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1306012216OtherNPS NUMBER