NPI 1780075663 · live from the CMS NPI Registry
Katherine Acosta, LSW
Social Worker, Clinical in Ridgewood, NJ. National Provider Identifier 1780075663, active.
NPI record
| NPI | 1780075663 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 162 E Ridgewood Ave, Ridgewood, NJ 07450 |
| Practice phone | 201-255-7925 |
| Enumerated | February 12, 2015 |
| Last updated | January 26, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 44SL05775400 (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.