Ashley Acosta

Individual provider Active NPI Clinical Social Worker · Hartford, CT

NPI 1639866239 · NPPES record last updated Apr 24, 2023

Key facts

NPI
1639866239
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
12969 (CT)
Practice address
674 Prospect Ave Ste 206
Hartford, CT 06105-4288
Phone
(860) 830-4569
NPI assigned
Apr 24, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12969 CT Yes

Addresses

Primary practice location

674 Prospect Ave Ste 206
Hartford, CT 06105-4288

Mailing address

674 Prospect Ave Ste 206
Hartford, CT 06105-4288

Other providers in Hartford, CT

All providers in Hartford, CT · Clinical Social Worker in Connecticut

Sources for this page

Verify at the official NPI Registry.