Wellformed AI

NPI 1467900381 · live from the CMS NPI Registry

Edgar Acosta, MSW

Social Worker, Clinical in Denver, CO. National Provider Identifier 1467900381, active.

NPI record

NPI1467900381 Type 1 · individual
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location777 Bannock St, Denver, CO 80204
Practice phone303-436-4949
Mailing address203 S Rollie Ave, Fort Lupton, CO 80621
EnumeratedSeptember 20, 2016
Last updatedOctober 24, 2024
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical primary1041C0700XCSW.09928355 (CO)

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