NPI 1154936359 · live from the CMS NPI Registry
Annette Acosta, LCSW
Social Worker, Clinical in Ft Lauderdale, FL. National Provider Identifier 1154936359, active.
NPI record
| NPI | 1154936359 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 3800 W Broward Blvd, Ft Lauderdale, FL 33312 |
| Practice phone | 954-587-1008 |
| Mailing address | 1211 Scioto Rd, North Lauderdale, FL 33068 |
| Enumerated | September 14, 2020 |
| Last updated | September 14, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | SW14064 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.