NPI 1629239421 · live from the CMS NPI Registry
Tamara Acosta, BSW
Social Worker in Plainville, CT. National Provider Identifier 1629239421, active.
NPI record
| NPI | 1629239421 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 91 Northwest Dr, Plainville, CT 06062 |
| Practice phone | 860-793-7244 |
| Mailing address | 462 Broadview Ter, Hartford, CT 06106 |
| Enumerated | June 24, 2008 |
| Last updated | June 24, 2008 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker primary | 104100000X | 167755610 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.