Provider Demographics
NPI:1215161161
Name:AGUILAR, MARGARET LUCINDA (LCSW)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:LUCINDA
Last Name:AGUILAR
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1232 BARKER RD
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88005-3182
Mailing Address - Country:US
Mailing Address - Phone:575-652-5263
Mailing Address - Fax:575-652-5400
Practice Address - Street 1:1232 BARKER RD
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88005-3182
Practice Address - Country:US
Practice Address - Phone:575-652-5263
Practice Address - Fax:575-652-5400
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-06
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMC-084111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM18677037Medicaid