Laura Jane Acosta, MSSW, LCSWA
Individual provider Active NPI Clinical Social Worker · Rose Hill, NC
NPI 1427434729 · NPPES record last updated Aug 10, 2015
Key facts
- NPI
- 1427434729
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- P009792 (NC)
- Practice address
- 416 West Ridge St
Rose Hill, NC 28458-7733 - Phone
- (910) 289-2610
- Fax
- (910) 289-4410
- NPI assigned
- Aug 10, 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 |
|---|---|---|---|
| P009792 | NC | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P009792 | NC | Yes |
Addresses
Primary practice location
416 West Ridge St
Rose Hill, NC 28458-7733
Mailing address
PO Box 880
416 West Ridge St
Rose Hill, NC 28458-7733
Phone (910) 289-2610
Other providers in Rose Hill, NC
- Jessamyn Lynn Angelastro
- Angie'S House of Love & Patience
- Pamela Bannerman-Smith
- Teondra Bannerman
- Bre'Anna Best
All providers in Rose Hill, NC · Clinical Social Worker in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2015. 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.