NPI 1457219677 · live from the CMS NPI Registry
Jose Rene Acosta, LCSW
Social Worker, Clinical in University Place, WA. National Provider Identifier 1457219677, active.
NPI record
| NPI | 1457219677 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 7504 33rd St W Apt G, University Place, WA 98466 |
| Practice phone | 971-240-2750 |
| Enumerated | January 15, 2026 |
| Last updated | January 15, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | L17158 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.