MEDICARE: SHERIDAN AGUILAR LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	111331	TX

General Provider Information

NPI Number	:	1598629388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERIDAN AGUILAR LMSW

Provider Business Mailing Address
First Line	:	205 E MONROE ST UNIT 202
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78704-2424
Country	:	US
Telephone Number	:	512-766-4993
Fax Number	:

Provider Business Practice Location Address
First Line	:	205 E MONROE ST # 202
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78704-2424
Country	:	US
Telephone Number	:	512-766-4993
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	12/16/2025

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