Provider Demographics
NPI:1790278463
Name:AGUILAR PIZANO, FRANCISCO JAVIER (LCSW)
Entity Type:Individual
Prefix:
First Name:FRANCISCO JAVIER
Middle Name:
Last Name:AGUILAR PIZANO
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:JAVIER
Other - Middle Name:
Other - Last Name:AGUILAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:PO BOX 9
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83653-0009
Mailing Address - Country:US
Mailing Address - Phone:208-461-7149
Mailing Address - Fax:208-467-3391
Practice Address - Street 1:1504 3RD ST N
Practice Address - Street 2:
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83687
Practice Address - Country:US
Practice Address - Phone:208-345-1170
Practice Address - Fax:208-345-3502
Is Sole Proprietor?:No
Enumeration Date:2018-06-07
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCSW-414891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical