Acosta, Gina M
Acosta, Gina M is an individual health care provider with primary practice located at 3715 Main St Ste 410 , Bridgeport CT 06606-3620. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Acosta, Gina M can be contacted via phone (203) 612-4300.Contact Information
Primary practice address
3715 Main St Ste 410
Bridgeport CT 06606-3620
Phone: (203) 612-4300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 011321 | Connecticut |
Profile Details
| NPI number | 1366022923 |
|---|---|
| LBN Legal business name | Acosta, Gina M |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 8th, 2021 |
| Last updated | Apr 8th, 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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