Individual
ANITA LYN ACEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
301 MONTECITO AVE, CORTE MADERA, CA 94925-1404
(415) 686-4379
Mailing address
301 MONTECITO AVE, CORTE MADERA, CA 94925-1404
(850) 883-8600
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
007203
GA
1041C0700X
Clinical Social Worker
120308
CA
1041C0700X
Clinical Social Worker
124828
MA
1041C0700X
Clinical Social Worker
Primary
13385
SC
1041C0700X
Clinical Social Worker
992150
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1041CO700X
VETERAN'S AFFAIRS
CO
Enumeration date
02/17/2010
Last updated
12/21/2025
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