NPI 1851175574 · live from the CMS NPI Registry
Leslie Guadalupe Acosta Herrera, MSW, CSWA, CHW
Social Worker in Portland, OR. National Provider Identifier 1851175574, active.
NPI record
| NPI | 1851175574 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 18633 Se Stark St Ste 401, Portland, OR 97233 |
| Practice phone | 503-489-1760 |
| Mailing address | 14213 Se Center St, Portland, OR 97236 |
| Enumerated | August 23, 2023 |
| Last updated | August 23, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker primary | 104100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.