Active NPIIndividual provider

Mrs. Jessica L D Acosta, LCSW LICSW

Social Worker, Clinical in Chatham, Massachusetts

NPI Number1053780619
Practice location
2 Lobster Ln., Apt C, Chatham, MA 02633
Fax
—
Last updated
January 15, 2020

Jessica Lynn D Acosta is a Social Worker, Clinical based in Chatham, MA. Jessica Lynn D Acosta practices in Chatham, MA and has the professional credentials of LCSW LICSW. The NPI Number for Jessica Lynn D Acosta is 1053780619 and holds a License No. 44sc05754900. The current practice location address for Jessica Lynn D Acosta is 2 Lobster Ln., Apt C, Chatham, MA 02633 and can be reached out via phone at 973-922-3551.

Provider Profile Details

NPI Number
1053780619
Provider Name
Jessica Lynn D Acosta
Credential
LCSW LICSW
Provider Entity Type
Individual
Gender
Female
Address
2 Lobster Ln., Apt C, Chatham, MA 02633
Phone Number
973-922-3551
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
September 24, 2015
Last Update Date
January 15, 2020
Certification Date
January 15, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Lobster Ln.
Apt C
Chatham, MA 02633
Zip
02633
Phone Number
973-922-3551
Chatham, MA 02633Get directions →

Provider Business Mailing Address Details

Address
2 Lobster Ln.
Apt C
Chatham, MA 02633
City
Chatham
State
MA
Zip
02633
Phone Number
973-922-3551

License Information

License Number (1)
44sc05754900
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
44SL06087400
License State (2)
NJ
Taxonomy (2)
Social Worker · 104100000X
License Number (3)
121282
License State (3)
MA
Taxonomy (3)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

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

Other Social Worker, Clinical providers near Chatham, MA

View all Social Worker, Clinical providers in Chatham →

Frequently Asked Questions

What is the NPI number of Mrs. Jessica L D Acosta, LCSW LICSW?

The NPI number of Mrs. Jessica L D Acosta, LCSW LICSW is 1053780619. It was assigned on September 24, 2015 and is currently active in the NPPES registry.

What is the specialty of Mrs. Jessica L D Acosta, LCSW LICSW?

Mrs. Jessica L D Acosta, LCSW LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed under license number 44sc05754900.

Where does Mrs. Jessica L D Acosta, LCSW LICSW practice?

The practice location is 2 Lobster Ln., Apt C, Chatham, MA 02633. The office can be reached at 973-922-3551 (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 1053780619 directly on the NPPES registry website.

Browse related providers