Active NPIIndividual providerSole proprietor

Immanuel Acevedo

Social Worker, Clinical in Springfield, Massachusetts

NPI Number1033960844
Practice location
60 Ronald Dr, Springfield, MA 01104-1631
Fax
—
Last updated
March 29, 2024

Immanuel Acevedo is a Social Worker, Clinical based in Springfield, MA. Immanuel Acevedo practices in Springfield, MA. The NPI Number for Immanuel Acevedo is 1033960844 and holds a License No. LCSW226638 (MA). The current practice location address for Immanuel Acevedo is 60 Ronald Dr, Springfield, MA 01104-1631 and can be reached out via phone at 413-355-3342.

Provider Profile Details

NPI Number
1033960844
Provider Name
Immanuel Acevedo
Provider Entity Type
Individual
Gender
Male
Address
60 Ronald Dr, Springfield, MA 01104-1631
Phone Number
413-355-3342
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
March 29, 2024
Last Update Date
March 29, 2024
Certification Date
March 29, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
60 Ronald Dr
Springfield, MA 01104-1631
Zip
01104-1631
Phone Number
413-355-3342
Springfield, MA 01104Get directions →

Provider Business Mailing Address Details

Address
60 Ronald Dr
Springfield, MA 01104-1631
City
Springfield
State
MA
Zip
01104-1631

License Information

License Number
LCSW226638
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Immanuel Acevedo?

The NPI number of Immanuel Acevedo is 1033960844. It was assigned on March 29, 2024 and is currently active in the NPPES registry.

What is the specialty of Immanuel Acevedo?

Immanuel Acevedo is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number LCSW226638.

Where does Immanuel Acevedo practice?

The practice location is 60 Ronald Dr, Springfield, MA 01104-1631. The office can be reached at 413-355-3342 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033960844 directly on the NPPES registry website.

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