Individual
MS. JUDITH ACOSTA
Active
Individual
MS. JUDITH ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0421371
NY
1041C0700X
Clinical Social Worker
Primary
I06292
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160289
GHI
NM
01
—
160289
VALUE OPTIONS
NY
Enumeration date
11/08/2006
Last updated
07/08/2007
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