NPI 1609557925 · live from the CMS NPI Registry
Jonathan Acosta, LSW
Social Worker, Clinical in Paterson, NJ. National Provider Identifier 1609557925, active.
NPI record
| NPI | 1609557925 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 32 Spruce St, Paterson, NJ 07501 |
| Practice phone | 973-413-1600 |
| Mailing address | 800 Grand Ave, Leonia, NJ 07605 |
| Enumerated | July 28, 2023 |
| Last updated | July 28, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 44SL06862500 (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.