Arlene Alexandra Acosta
Individual provider Active NPI Clinical Social Worker · Modesto, CA
NPI 1154205409 · NPPES record last updated Jul 31, 2025
Key facts
- NPI
- 1154205409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 125968 (CA)
- Practice address
- 1114 6TH St
Modesto, CA 95354-2203 - Phone
- (209) 722-4842
- NPI assigned
- Jul 31, 2025
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125968 | CA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 125968 | CA | Yes |
Addresses
Primary practice location
1114 6TH St
Modesto, CA 95354-2203
Mailing address
PO Box 3528
Modesto, CA 95352-3528
Phone (209) 666-4087
NPI Registry JSON
{
"created_epoch": "1753920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753920000000",
"number": "1154205409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3528",
"city": "MODESTO",
"state": "CA",
"postal_code": "953523528",
"telephone_number": "209-666-4087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1114 6TH ST",
"city": "MODESTO",
"state": "CA",
"postal_code": "953542203",
"telephone_number": "209-722-4842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACOSTA",
"first_name": "ARLENE",
"middle_name": "ALEXANDRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-31",
"last_updated": "2025-07-31",
"certification_date": "2025-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "125968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
- Seth Ackuayi
- Claudia Edith Acosta Canela
- Allyssa Acosta
- Anyssa Acosta
- Anyssa Marie Acosta
- Cindy Acosta
- Daniel Acosta
- Heidi Acosta
- Vanessa Acosta
- Acree-Isenhower Dental Coporation
All providers in Modesto, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.