Individual
MR. EDWARD L. ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2211 CHARLOTTE ST, KANSAS CITY, MO 64108-2733
(816) 404-5810
(816) 404-5845
Mailing address
2211 CHARLOTTE ST, KANSAS CITY, MO 64108-2733
(816) 404-5810
(816) 404-5845
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2007027436
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1847
LICENSED MENTAL HEALTH PR
NE
01
—
189
CERTIFIED MASTER SOCIAL W
NE
01
—
2007027436
LICENSED CLINICAL SOCIAL
MO
01
—
6834
LICENSED MASTERS IN SOCIA
KS
Enumeration date
11/08/2007
Last updated
11/08/2007
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