Andres Acosta II, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904008888 Issued in VA

Practice address

4480 King St
5TH Floor
Alexandria, VA 22302-1300

Phone

(703) 746-3458

Fax

(703) 379-3962

NPI assigned

Nov 18, 2015

Last updated

Nov 18, 2015By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447804800000",
    "number": "1154795862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4480 KING ST",
            "address_2": "5TH FLOOR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021300",
            "telephone_number": "703-746-3458",
            "fax_number": "703-379-3962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4480 KING ST",
            "address_2": "5TH FLOOR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021300",
            "telephone_number": "703-746-3458",
            "fax_number": "703-379-3962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "ANDRES",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-18",
        "last_updated": "2015-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008888",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50080290",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Acker, MSLP
• Ackerman & Associates of Alexandria, DDS, LLC
• Acorn Health of Virginia III, LLC
• Nathalia Acosta Valencia
• Alexis Naija Acosta
• Carmen Carina Acosta
• Sia Acquah, LCSW
• Ada Healthcare LLC
• Wisdom Nnamdi Adaka, PHARMD, BCPS
• Jessalynn Adam, MD

• Clinical Social Worker in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.