NPI 1114687944 · live from the CMS NPI Registry
Yaissa Acosta
Social Worker in Jacksonville, FL. National Provider Identifier 1114687944, active.
NPI record
| NPI | 1114687944 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 2392 Edgewood Ave N, Jacksonville, FL 32254 |
| Practice phone | 786-378-3921 |
| Enumerated | December 20, 2021 |
| Last updated | December 20, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker primary | 104100000X | — (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.