NPI 1700979440 · live from the CMS NPI Registry
Yvonne Evangelista Acosta- Martinez, LCSW
Social Worker, Clinical in Hartford, CT. National Provider Identifier 1700979440, active.
NPI record
| NPI | 1700979440 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 151 New Park Ave Unit 31, Hartford, CT 06106 |
| Practice phone | 860-292-3082 |
| Mailing address | 555 Frankliin Ave., Hartford, CT 06114 |
| Enumerated | October 2, 2006 |
| Last updated | September 18, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 03770 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.