Ms. Krysellys A Acosta, MSW, LCSW
Social Worker, Clinical in Plainfield, Illinois
1992214563- Practice location
- 10204 Bode St Ste B, Plainfield, IL 60585-9813
- Phone
- 774-334-4808
- Fax
- —
- Last updated
- November 19, 2021
Krysellys A Acosta is a Social Worker, Clinical based in Plainfield, IL. Krysellys A Acosta practices in Plainfield, IL and has the professional credentials of MSW, LCSW. The NPI Number for Krysellys A Acosta is 1992214563 and holds a License No. 122229101 (MA). The current practice location address for Krysellys A Acosta is 10204 Bode St Ste B, Plainfield, IL 60585-9813 and can be reached out via phone at 774-334-4808.
Provider Profile Details
- NPI Number
- 1992214563
- Provider Name
- Krysellys A Acosta
- Credential
- MSW, LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 10204 Bode St Ste B, Plainfield, IL 60585-9813
- Phone Number
- 774-334-4808
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 26, 2017
- Last Update Date
- November 19, 2021
- Certification Date
- November 19, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10204 Bode St Ste B
Plainfield, IL 60585-9813 - City
- Plainfield
- State
- Illinois
- Zip
- 60585-9813
- Phone Number
- 774-334-4808
Provider Business Mailing Address Details
- Address
- Po Box 21
Webster, MA 01570-0021 - City
- Webster
- State
- MA
- Zip
- 01570-0021
License Information
- License Number (1)
- 122229101
- License State (1)
- MA
- Taxonomy (1)
- Social Worker · 104100000X
- License Number (2)
- 225832
- License State (2)
- MA
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Plainfield, IL
View all Social Worker, Clinical providers in Plainfield →Frequently Asked Questions
What is the NPI number of Ms. Krysellys A Acosta, MSW, LCSW?
The NPI number of Ms. Krysellys A Acosta, MSW, LCSW is 1992214563. It was assigned on September 26, 2017 and is currently active in the NPPES registry.
What is the specialty of Ms. Krysellys A Acosta, MSW, LCSW?
Ms. Krysellys A Acosta, MSW, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 122229101.
Where does Ms. Krysellys A Acosta, MSW, LCSW practice?
The practice location is 10204 Bode St Ste B, Plainfield, IL 60585-9813. The office can be reached at 774-334-4808 (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 1992214563 directly on the NPPES registry website.