NPI 1639866239 · live from the CMS NPI Registry
Ashley Acosta
Social Worker, Clinical in Hartford, CT. National Provider Identifier 1639866239, active.
NPI record
| NPI | 1639866239 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 674 Prospect Ave Ste 206, Hartford, CT 06105 |
| Practice phone | 860-830-4569 |
| Enumerated | April 24, 2023 |
| Last updated | April 24, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 12969 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.