Acosta, Katherine

Acosta, Katherine is an individual health care provider with primary practice located at 162 E Ridgewood Ave , Ridgewood NJ 07450-3859. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Acosta, Katherine can be contacted via phone (201) 255-7925.

Contact Information

Primary practice address
162 E Ridgewood Ave Ridgewood NJ 07450-3859
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SL05775400 New Jersey

Profile Details

NPI number 1780075663
LBN Legal business name Acosta, Katherine
Credentials LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2015
Last updated Jan 26th, 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 1780075663 NPPES
Other 000 N/A

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