NPI 1598913345 · live from the CMS NPI Registry
Carlos Jorge Acosta, LCSW
Social Worker, Clinical in Woodstock, IL. National Provider Identifier 1598913345, active.
NPI record
| NPI | 1598913345 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 110 S Johnson St, Suite 212, Woodstock, IL 60098 |
| Practice phone | 815-206-0445 |
| Enumerated | September 5, 2008 |
| Last updated | September 5, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 149.011623 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.