NPI 1851383897 · live from the CMS NPI Registry
Mary I. Acosta Granger, LCSW
Social Worker, Clinical in San Antonio, TX. National Provider Identifier 1851383897, active.
NPI record
| NPI | 1851383897 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 2318 San Pedro Ave Ste 14, San Antonio, TX 78212 |
| Practice phone | 210-378-3864 |
| Mailing address | Po Box 12976, San Antonio, TX 78212 |
| Enumerated | August 16, 2005 |
| Last updated | September 6, 2018 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.