Elba Iris Acosta is a Clinical in Charlotte, North Carolina. Elba Iris Acosta practices all healthcare services and medical treatments related to Clinical. The NPI Number for Elba Iris Acosta is 1114194354. The last update date is 2021-04-15.
Elba Iris Acosta's current location address is 301 Mccullough Dr Ste 400, Charlotte, North Carolina. You can contact this provider via phone number 9802166899 and fax number 7049092725. The mailing address for Elba Iris Acosta is 301 Mccullough Dr Ste 400, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Name | Elba Iris Acosta |
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Address | 301 Mccullough Dr Ste 400, Charlotte, North Carolina |
Phone Number | 9802166899 |
Fax Number | 7049092725 |
Sole Proprietor | N |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1114194354 |
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Provider Enumeration Date | 2008-05-15 |
Last Updated Date | 2021-04-15 |
Provider Mailing Address Detail
Address | 301 Mccullough Dr Ste 400 |
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City | Charlotte |
State | North Carolina (NC) |
Post Code | 282621336 |
Phone Number | 9802166899 |
Fax Number | 7049092725 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | P011272 |
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
76051 | NY | LICENSE | |
C013838 | NC | LCSW LICENSE | |
P011272 | NC | LICENSE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Elba Iris Acosta?
The Elba Iris Acosta has been issued the NPI (National Provider Identifier) 1114194354 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Elba Iris Acosta?
The Elba Iris Acosta is situated at 301 Mccullough Dr Ste 400, in the city of Charlotte, state of NC, with the zip code 282621336.
What is Elba Iris Acosta's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Elba Iris Acosta's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1114194354 to Elba Iris Acosta?
The Centers for Medicare & Medicaid Services originally issued the 1114194354 to Elba Iris Acosta on 2008-05-15.
As of what date were the details pertaining to Elba Iris Acosta last refreshed?
The information related to the Elba Iris Acosta, including its address, specialty, and other relevant details, was last updated on 2021-04-15.
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