Acosta, Krysellys A
Acosta, Krysellys A is an individual health care provider with primary practice located at 10204 Bode St Ste B , Plainfield IL 60585-9813. 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, Krysellys A can be contacted via phone (774) 334-4808.Contact Information
Primary practice address
10204 Bode St Ste B
Plainfield IL 60585-9813
Phone: (774) 334-4808
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 122229101 | Massachusetts |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 225832 | Massachusetts |
Profile Details
NPI number | 1992214563 |
---|---|
LBN Legal business name | Acosta, Krysellys A |
Credentials | MSW, LCSW |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 26th, 2017 |
Last updated | Nov 19th, 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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