NPI 1114802709 · live from the CMS NPI Registry
Desiree Marie Acosta, LCSW
Social Worker, Clinical in Wayne, NJ. National Provider Identifier 1114802709, active.
NPI record
| NPI | 1114802709 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 401 Hamburg Tpke, Wayne, NJ 07470 |
| Practice phone | 973-790-9222 |
| Mailing address | 306 Mary St, Hackensack, NJ 07601 |
| Enumerated | August 11, 2025 |
| Last updated | August 11, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 44SC06529600 (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.