NPI 1124184270 · live from the CMS NPI Registry
Carmen J Acevedo, LCSW
Social Worker, Clinical in Satellite Beach, FL. National Provider Identifier 1124184270, active.
NPI record
| NPI | 1124184270 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 1380 S Patrick Dr, Satellite Beach, FL 32937 |
| Practice phone | 321-313-0633 |
| Enumerated | December 30, 2006 |
| Last updated | April 16, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | SW0002818 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.