Acosta, Yesenia

Acosta, Yesenia is an individual health care provider with primary practice located at 855 Anthony Dr , Anthony NM 88021-9325. 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, Yesenia can be contacted via phone (575) 882-5706.

Contact Information

Primary practice address
855 Anthony Dr Anthony NM 88021-9325
Phone: (575) 882-5706
Fax: (575) 882-2909
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X M-08383 New Mexico
Behavioral Health & Social Service Providers / Clinical 1041C0700X C-09180 New Mexico

Profile Details

NPI number 1093152274
LBN Legal business name Acosta, Yesenia
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2013
Last updated Dec 12th, 2016 - about 8 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 1093152274 NPPES
New Mexico MEDICAID 18677037

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