NPI 1134775562 · live from the CMS NPI Registry
Leanna Acquaro, MSW, LCSW, LCADC
Social Worker, Clinical in Lakewood, NJ. National Provider Identifier 1134775562, active.
NPI record
| NPI | 1134775562 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 700 Airport Rd, Lakewood, NJ 08701 |
| Practice phone | 732-367-4700 |
| Mailing address | 444 Mermaid Ave, Beachwood, NJ 08722 |
| Enumerated | August 12, 2019 |
| Last updated | May 5, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 2018-000627 (NJ) |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 37LC00327900 (NJ) |
| Social Worker | 104100000X | 44SL06482300 (NJ) |
| Social Worker, Clinical primary | 1041C0700X | 44SC06014800 (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.