Acosta, Elba Iris

Acosta, Elba Iris is an individual health care provider with primary practice located at 301 Mccullough Dr Ste 400 , Charlotte NC 28262-1336. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Acosta, Elba Iris can be contacted via phone (980) 216-6899.

Contact Information

Primary practice address
301 Mccullough Dr Ste 400 Charlotte NC 28262-1336
Phone: (980) 216-6899
Fax: (704) 909-2725
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 076051 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X P011272 North Carolina

Profile Details

NPI number 1114194354
LBN Legal business name Acosta, Elba Iris
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2008
Last updated Apr 15th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114194354 NPPES
New York Other 076051 LICENSE
New York Other C013838 LICENSE
New York Other P011272 LICENSE

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