Active NPI
Edward L. Acosta, LCSW
- Clinical Social Worker
- Kansas City, MO
National Provider Identifier
1689854515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2007027436
- Practice address
- 2211 Charlotte St
Kansas City, MO 64108-2733 - Phone
- (816) 404-5810
- Fax
- (816) 404-5845
- NPI assigned
- Nov 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2007027436 | MO | Primary |
Addresses
Primary practice location
2211 Charlotte St
Kansas City, MO 64108-2733
Mailing address
2211 Charlotte St
Kansas City, MO 64108-2733
Phone (816) 404-5810
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6834 | Other | KS | LICENSED MASTERS IN SOCIA |
| 1847 | Other | NE | LICENSED MENTAL HEALTH PR |
| 189 | Other | NE | CERTIFIED MASTER SOCIAL W |
| 2007027436 | Other | MO | LICENSED CLINICAL SOCIAL |
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 |
|---|---|---|---|
| 2007027436 | MO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194480000000",
"number": "1689854515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 CHARLOTTE ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641082733",
"telephone_number": "816-404-5810",
"fax_number": "816-404-5845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 CHARLOTTE ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641082733",
"telephone_number": "816-404-5810",
"fax_number": "816-404-5845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACOSTA",
"first_name": "EDWARD",
"middle_name": "L.",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-08",
"last_updated": "2007-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2007027436",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED MASTERS IN SOCIA",
"identifier": "6834",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED MENTAL HEALTH PR",
"identifier": "1847",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED MASTER SOCIAL W",
"identifier": "189",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED CLINICAL SOCIAL",
"identifier": "2007027436",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.