NPI 1043380041 · live from the CMS NPI Registry
Judith Acosta, LISW LCSW
Social Worker, Clinical in Placitas, NM. National Provider Identifier 1043380041, active.
NPI record
| NPI | 1043380041 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 16 Roadrunner Trail, Placitas, NM 87043 |
| Practice phone | 505-771-2282 |
| Enumerated | November 8, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | I06292 (NM) |
| Social Worker, Clinical | 1041C0700X | 0421371 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.