Provider Demographics
NPI:1487470266
Name:NAVARRO-AGUILAR, PEDRO E (LCSW)
Entity type:Individual
Prefix:MR
First Name:PEDRO
Middle Name:E
Last Name:NAVARRO-AGUILAR
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5804 FAWN AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89107-1429
Mailing Address - Country:US
Mailing Address - Phone:702-903-5118
Mailing Address - Fax:
Practice Address - Street 1:6402 MCLEOD DR. STE 5
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-4406
Practice Address - Country:US
Practice Address - Phone:725-204-8809
Practice Address - Fax:563-412-5248
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-26
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV12186-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical