Sharon Acosta, LCSW
Individual provider Active NPI Clinical Social Worker · Medford, NY
NPI 1245797273 · NPPES record last updated Jun 12, 2025
Key facts
- NPI
- 1245797273
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 100297 (NY)
- Practice address
- 31 Industrial Blvd
Medford, NY 11763-2220 - Phone
- (631) 924-4411
- NPI assigned
- Feb 26, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250617000482 | NY | Order and Referring Only - Clinical Social Worker | 0648781690 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Yaphank Center | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 100297 | NY | Yes |
Addresses
Primary practice location
31 Industrial Blvd
Medford, NY 11763-2220
Mailing address
31 Industrial Blvd
Medford, NY 11763-2220
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All providers in Medford, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.