Healthcare Provider Details

I. General information

NPI: 1700323110
Provider Name (Legal Business Name): DELIA ACOSTA-PEREZ LCSW117803
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2017
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

954 TRANQUILITY CT
LEMOORE CA
93245-9148
US

IV. Provider business mailing address

11115 C ST
ARMONA CA
93202-7730
US

V. Phone/Fax

Practice location:
  • Phone: 559-469-7039
  • Fax:
Mailing address:
  • Phone: 559-469-7039
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW117803
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: