Carlos Manuel Acosta Blanco, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13701 Issued in PR

Practice address

HC 9 Box 4186
Sabana Grande, PR 00637-9433

Phone

(787) 404-2592

NPI assigned

Jan 29, 2025

Last updated

Jan 29, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1073326583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 9 BOX 4186",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "006379433",
            "telephone_number": "787-404-2592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 9 BOX 4186",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "006379433",
            "telephone_number": "787-404-2592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA BLANCO",
        "first_name": "CARLOS",
        "middle_name": "MANUEL",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "13701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley Acosta
• Activeaid Medical Solutions LLC
• Ad&D Therapy Alliance LLC
• Aitana Ponce LLC
• Alfredo Alicea

• Clinical Social Worker in Sabana Grande, PR
• Providers in Sabana Grande, PR by specialty
• Clinical Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.