| Doctor Name: | MS. CARY JESUS ACOSTA |
| NPI Number: | 1154614071 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW. |
| License Number: | SW9819 |
| Business Practice Address: | 37944 Pasco Ave Dade City, FL - 335254202 |
| Business Phone Number: | 3525182000 |
| Business Fax Number: | 3525670218 |
| Mailing Address: | Po Box 232, DADE CITY |
| State: | FL |
| Postal Code: | 335260232 |
| Phone Number: | 3525182000 |
| Fax Number: | 3525670218 |
| NPI Enumeration Date: | 05/25/2011 |
| NPI Last Update Date: | 05/05/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | SW9819 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |