Provider Demographics
NPI:1427173087
Name:AGUILAR, ROMERO JOSE (LCSW)
Entity type:Individual
Prefix:MR
First Name:ROMERO
Middle Name:JOSE
Last Name:AGUILAR
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:MR
Other - First Name:ROMERO
Other - Middle Name:JOSE
Other - Last Name:AGUILAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:PO BOX 1000
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93302-1000
Mailing Address - Country:US
Mailing Address - Phone:661-868-6100
Mailing Address - Fax:661-868-6133
Practice Address - Street 1:1401 L ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-4522
Practice Address - Country:US
Practice Address - Phone:661-868-6100
Practice Address - Fax:166-868-6133
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2015-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW619291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical