Doctor Name: | LAURA JANE ACOSTA |
NPI Number: | 1427434729 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSSW, LCSWA |
License Number: | P009792 |
Business Practice Address: | 416 West Ridge St Rose Hill, NC - 284587733 |
Business Phone Number: | 9102892610 |
Business Fax Number: | 9102894410 |
Mailing Address: | Po Box 880, 416 West Ridge St ROSE HILL |
State: | NC |
Postal Code: | 284587733 |
Phone Number: | 9102892610 |
Fax Number: | 9102894410 |
NPI Enumeration Date: | 08/10/2015 |
NPI Last Update Date: | 08/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | P009792 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |