Yeshara Acosta, LCSW
Individual provider Active NPI Social Worker · Duarte, CA
NPI 1174902647 · NPPES record last updated Mar 17, 2025
Key facts
- NPI
- 1174902647
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 110249 (CA)
- Practice address
- 2502 E. Huntington Dr
Duarte, CA 91010-2221 - Phone
- (626) 861-1823
- NPI assigned
- May 29, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 110249 | CA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Social Worker | 104100000X | 110249 | CA | Yes |
Addresses
Primary practice location
2502 E. Huntington Dr
Duarte, CA 91010-2221
Mailing address
2502 Huntington Dr
Duarte, CA 91010-2221
Phone (626) 861-1823
Other practice location 1
5201 Great America Pkwy Ste 320
Santa Clara, CA 95054-1140
Phone (323) 205-7088
Other providers in Duarte, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 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.