Provider Demographics
NPI:1497099352
Name:AGUILAR, SERGIO (MSW)
Entity Type:Individual
Prefix:MR
First Name:SERGIO
Middle Name:
Last Name:AGUILAR
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2172 S TRENTON WAY
Mailing Address - Street 2:APT. 4-303
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-5379
Mailing Address - Country:US
Mailing Address - Phone:213-268-2787
Mailing Address - Fax:
Practice Address - Street 1:1055 CLERMONT ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-3808
Practice Address - Country:US
Practice Address - Phone:303-399-8020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-16
Last Update Date:2012-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical