Wellformed AI

NPI 1245794007 · live from the CMS NPI Registry

Jenice Acosta, LCSW

Social Worker, Clinical in Jersey City, NJ. National Provider Identifier 1245794007, active.

NPI record

NPI1245794007 Type 1 · individual
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location220 9th St Ste 2060, Jersey City, NJ 07302
Practice phone917-524-9372
EnumeratedJanuary 25, 2019
Last updatedJanuary 5, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical1041C0700X44SC06213200 (NJ)
Social Worker, Clinical primary1041C0700X094609 (NY)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.