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NPI Code Detail

MEDICARE: VERONICA ANNETTE ACOSTA LCSW

MEDICARE: VERONICA ANNETTE ACOSTA LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker103408CA

General Provider Information

NPI Number : 1427550854
Entity Type Code : Individual
Provider Name (Legal Business Name) : VERONICA ANNETTE ACOSTA LCSW
Provider Business Mailing Address
First Line : 669 W 34TH ST STE 102M
Second Line :
City : LOS ANGELES
State : CA
Zip : 90089-0067
Country : US
Telephone Number : 213-821-5977
Fax Number :
Provider Business Practice Location Address
First Line : 669 W 34TH ST STE 102M
Second Line :
City : LOS ANGELES
State : CA
Zip : 90089-0067
Country : US
Telephone Number : 213-821-5977
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2018
Last Update Date : 01/17/2023

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Directions to “ VERONICA ANNETTE ACOSTA LCSW” Practice Location

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