Emmy Amparo Acevedo, LCSW

Individual provider Active NPI Clinical Social Worker · Sparta, NJ

NPI 1376376459 · NPPES record last updated Aug 23, 2024

Key facts

NPI
1376376459
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
44SC06378600 (NJ)
Practice address
75 Hidden Glen Dr
Sparta, NJ 07871-3843
Phone
(973) 997-5115
NPI assigned
Aug 23, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC06378600 NJ Yes

Addresses

Primary practice location

75 Hidden Glen Dr
Sparta, NJ 07871-3843

Mailing address

75 Hidden Glen Dr
Sparta, NJ 07871-3843
Phone (973) 997-5115

Other providers in Sparta, NJ

All providers in Sparta, NJ · Clinical Social Worker in New Jersey

Sources for this page

Verify at the official NPI Registry.