NPI 1417094012 · live from the CMS NPI Registry
Laura Sofia Acero, LCSW-R
Social Worker, Clinical in Jerome, ID. National Provider Identifier 1417094012, active.
NPI record
| NPI | 1417094012 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 218 W Nez Perce, Jerome, ID 83338 |
| Practice phone | 208-324-3471 |
| Mailing address | 794 Eastland Dr, Twin Falls, ID 83301 |
| Enumerated | January 31, 2007 |
| Last updated | April 6, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical | 1041C0700X | 072342-1 (NY) |
| Social Worker, Clinical primary | 1041C0700X | LCSW-40042 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.