Joseph Acevedo

Individual provider Active NPI Clinical Social Worker · Fletcher, NC

NPI 1043893183 · NPPES record last updated May 5, 2021

Key facts

NPI
1043893183
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
108 Stafford CT.
Fletcher, NC 28732
Phone
(386) 479-9013
NPI assigned
May 5, 2021
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193400000X SINGLE SPECIALTY GROUP
1041C0700X Yes

Addresses

Primary practice location

108 Stafford CT.
Fletcher, NC 28732

Mailing address

108 Stafford CT
Fletcher, NC 28732-8369
Phone (386) 479-9013

Other providers in Fletcher, NC

All providers in Fletcher, NC · Clinical Social Worker in North Carolina

Sources for this page

Verify at the official NPI Registry.