NPI 1093152274 · live from the CMS NPI Registry
Yesenia Acosta, LCSW
Social Worker, Clinical in Anthony, NM. National Provider Identifier 1093152274, active.
NPI record
| NPI | 1093152274 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 855 Anthony Dr, Anthony, NM 88021 |
| Practice phone | 575-882-5706 |
| Mailing address | 385 Calle De Alegra Ste A, Las Cruces, NM 88005 |
| Enumerated | May 29, 2013 |
| Last updated | December 12, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | M-08383 (NM) |
| Social Worker, Clinical primary | 1041C0700X | C-09180 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.