Acosta, Judith
Acosta, Judith is an individual health care provider with primary practice located at 16 Roadrunner Trail , Placitas NM 87043. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Acosta, Judith can be contacted via phone (505) 771-2282.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I06292 | New Mexico |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0421371 | New York |
Profile Details
| NPI number | 1043380041 |
|---|---|
| LBN Legal business name | Acosta, Judith |
| Credentials | LISW LCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043380041 | NPPES |
| New Mexico | Other | 160289 | GHI |
| New Mexico | Other | 160289 | GHI |
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