Individual provider · NPI-1

Lisbeth Acosta, LCSWA

Social Worker, Clinical · Raleigh, NC

NPI number1528615416
StatusActive
Last updated in NPPESAug 25, 2019

Details

NPI
1528615416
Entity type
Individual (NPI-1)
Name
Lisbeth Acosta
Credential
LCSWA
Sex
Female
Sole proprietor
No
Enumeration date
Aug 25, 2019
Last updated
Aug 25, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalP013633NCYes

Practice location

3117 Poplarwood Ct Ste 207
Raleigh, NC 27604-1040

Phone 919-790-8580

Mailing address

1606 Collegeview Ave
Raleigh, NC 27606-4849

Phone 508-333-6119

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