NPI 1366022923 · live from the CMS NPI Registry
Gina M Acosta, LCSW
Social Worker, Clinical in Bridgeport, CT. National Provider Identifier 1366022923, active.
NPI record
| NPI | 1366022923 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 3715 Main St Ste 410, Bridgeport, CT 06606 |
| Practice phone | 203-612-4300 |
| Enumerated | April 8, 2021 |
| Last updated | April 8, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 011321 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.