Acosta, Carlos Jorge

Acosta, Carlos Jorge is an individual health care provider with primary practice located at 110 S Johnson St Suite 212, Woodstock IL 60098-3259. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Acosta, Carlos Jorge can be contacted via phone (815) 206-0445.

Contact Information

Primary practice address
110 S Johnson St Suite 212 Woodstock IL 60098-3259
Phone: (815) 206-0445
Fax: (815) 206-1056
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149.011623 Illinois

Profile Details

NPI number 1598913345
LBN Legal business name Acosta, Carlos Jorge
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2008
Last updated Sep 5th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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