Yensy Acosta, LCSW

Individual provider Active NPI Clinical Social Worker · Dania Beach, FL

NPI 1679965255 · NPPES record last updated Jun 19, 2019

Key facts

NPI
1679965255
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
SW12250 (FL)
Practice address
257 SW 7TH St
Dania Beach, FL 33004-3947
Phone
(305) 606-3882
NPI assigned
Feb 19, 2015
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)
Yes

State licenses

LicenseStateTypeSpecialty
SW12250FLMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW12250 FL Yes

Addresses

Primary practice location

257 SW 7TH St
Dania Beach, FL 33004-3947

Mailing address

257 SW 7TH St
Dania Beach, FL 33004-3947
Phone (305) 606-3882

Other practice location 1

11120 S Crown Way Ste 1
Wellington, FL 33414-8718
Phone (305) 606-3882

Other providers in Dania Beach, FL

All providers in Dania Beach, FL · Clinical Social Worker in Florida

Sources for this page

Verify at the official NPI Registry.