Kimberly Yasmine Mancilla Aguirre, MSW is a
Social Worker - Clinical based in Pasadena, California. Kimberly Yasmine Mancilla Aguirre is licensed to practice in California (license number 101839) and her current practice location is
867 N Fair Oaks Ave, Pasadena, California. She can be reached at her office (for appointments etc.) via phone at
(626) 798-6793.
NPI number for Kimberly Yasmine Mancilla Aguirre is 1679199970 and her current mailing address is 760 Mountain View St, Altadena, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679199970.
Healthcare Provider's Profile
| Full Name | Kimberly Yasmine Mancilla Aguirre |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 867 N Fair Oaks Ave, Pasadena, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1679199970
- Provider Enumeration Date: 06/23/2020
- Last Update Date: 06/06/2023
Medical Identifiers
Medical identifiers for Kimberly Yasmine Mancilla Aguirre such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679199970 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 101839 (California) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 101839 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Yasmine Mancilla Aguirre is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kimberly Yasmine Mancilla Aguirre, MSW
760 Mountain View St,
Altadena, CA 91001-4925
Ph: () - | Kimberly Yasmine Mancilla Aguirre, MSW
867 N Fair Oaks Ave,
Pasadena, CA 91103-3050
Ph: (626) 798-6793 |
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