KIMBERLY YASMINE MANCILLA AGUIRRE MSW
NPI 1679199970
Social Worker - Clinical in Pasadena, CA

Q: What is Kimberly Mancilla Aguirre's NPI number?

The NPI number for Kimberly Mancilla Aguirre is 1679199970. It was assigned to this individual provider in the NPPES registry on June 23, 2020.

Q: What is Kimberly Mancilla Aguirre's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since June 23, 2020

867 N FAIR OAKS AVE, PASADENA, CA 91103(626) 798-6793 Get Directions Write a Review

NPPES record last updated: June 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2023, Jun 24, 2021, May 18, 2021 and 2 more (5 updates tracked since 2020).

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About Kimberly Yasmine Mancilla Aguirre Msw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY YASMINE MANCILLA AGUIRRE MSW (NPI 1679199970) is an individual clinical provider in Pasadena, California, licensed in California (101839) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1679199970

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKIMBERLY YASMINE MANCILLA AGUIRRECredential: MSW

Location Address867 N FAIR OAKS AVEPasadena, CA 91103-3050

Mailing Address760 Mountain View StAltadena, CA 91001-4925

Phone(626) 798-6793

Sole ProprietorNo

Enumeration DateJune 23, 2020

Last NPPES UpdateJune 6, 20235 updates tracked since enumeration

NPPES CertifiedJune 6, 2023

✔ NPI 1679199970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · 101839

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 101839 (CA)

Also ListedRehabilitation PractitionerTaxonomy 225400000X

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

867 N FAIR OAKS AVE, Pasadena, CA 91103

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERENDIDA MORENO

Rehabilitation Practitioner