Provider Demographics
NPI:1619133311
Name:HURTADO, ALDO U (LICSW)
Entity Type:Individual
Prefix:
First Name:ALDO
Middle Name:U
Last Name:HURTADO
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1315 CONSTITUTION AVE NE
Mailing Address - Street 2:#3
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-6419
Mailing Address - Country:US
Mailing Address - Phone:301-755-7569
Mailing Address - Fax:
Practice Address - Street 1:1375 KENYON ST NW
Practice Address - Street 2:#212
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2398
Practice Address - Country:US
Practice Address - Phone:202-319-2355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-01
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500782671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical