Active NPI
Laura Sofia Acero, LCSW-R
- Clinical Social Worker
- Jerome, ID
National Provider Identifier
1417094012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-40042
- Practice address
- 218 W Nez Perce
Jerome, ID 83338-5077 - Phone
- (208) 324-3471
- NPI assigned
- Jan 31, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 072342-1 | NY | |
| Clinical Social Worker | 1041C0700X | LCSW-40042 | ID | Primary |
Addresses
Primary practice location
218 W Nez Perce
Jerome, ID 83338-5077
Mailing address
794 Eastland Dr
Twin Falls, ID 83301-6856
Phone (208) 737-6718
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12300822 | Other | CAQH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lacero@fhsid.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 072342-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617667200000",
"number": "1417094012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "794 EASTLAND DR",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833016856",
"telephone_number": "208-737-6718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 W NEZ PERCE",
"city": "JEROME",
"state": "ID",
"postal_code": "833385077",
"telephone_number": "208-324-3471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACERO",
"first_name": "LAURA",
"middle_name": "SOFIA",
"credential": "LCSW-R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2021-04-06",
"certification_date": "2021-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "072342-1",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "LCSW-40042",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12300822",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lacero@fhsid.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "114 Pioneer Ct",
"city": "Jerome",
"state": "ID",
"country_code": "US",
"postal_code": "833385193",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Jerome, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.