NPI 1821771916 · live from the CMS NPI Registry
Evelyn Aissa Acosta
Social Worker, Clinical in West Jordan, UT. National Provider Identifier 1821771916, active.
NPI record
| NPI | 1821771916 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 7625 S 3200 W Ste 2, West Jordan, UT 84084 |
| Practice phone | 801-915-0359 |
| Mailing address | 154 W 600 S Unit 538, Salt Lake City, UT 84101 |
| Enumerated | August 8, 2023 |
| Last updated | June 11, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rehabilitation Counselor | 225C00000X | — |
| Social Worker, Clinical primary | 1041C0700X | 14225228-3502 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.