Individual provider · NPI-1
Eddie J. Aceves, MSW
Social Worker, Clinical · Riverside, CA
NPI number1376736249
StatusActive
Last updated in NPPESFeb 15, 2023
Details
- NPI
- 1376736249
- Entity type
- Individual (NPI-1)
- Name
- Eddie J. Aceves
- Credential
- MSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 23, 2007
- Certification date
- Feb 15, 2023
- Last updated
- Feb 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 108144 | CA | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
3125 Myers StRiverside, CA 92503-5527
Phone 951-358-4840 · Fax 323-728-9201
Mailing address
3125 Myers StRiverside, CA 92503-5527
Phone 951-358-4840 · Fax 323-728-9201
Other practice locations
5835 S Eastern Ave
La County Dmh Specialized Foster Care Mental Health
Commerce, CA 90040-4001
La County Dmh Specialized Foster Care Mental Health
Commerce, CA 90040-4001
Phone 323-725-4625 · Fax 323-728-9201
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