Mary I. Acosta Granger, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

2318 San Pedro Ave Ste 14
San Antonio, TX 78212

Phone

(210) 378-3864

Fax

(855) 558-1461

NPI assigned

Aug 16, 2005

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1851383897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12976",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782120976",
            "telephone_number": "210-378-3864",
            "fax_number": "855-558-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2318 SAN PEDRO AVE STE 14",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78212",
            "telephone_number": "210-378-3864",
            "fax_number": "855-558-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA GRANGER",
        "first_name": "MARY",
        "middle_name": "I.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Acme Orthopedic Labs, LLC
• Acme Spine and Neck Clinic, LLC
• Hunter Ryan Acord, DDS
• Joseph George Acord III, RN
• Acorn Pediatrics of San Antonio
• Manelys Acosta Serrano, M.D.
• Alicia Acosta, LPC, LCDC
• Alma Acosta, APRN
• Analyssa Mari Acosta
• Arianna Acosta

• Clinical Social Worker in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.