Individual provider · NPI-1

Christina Desiree Acosta, LCSW

Social Worker, Clinical · Gilbert, AZ

NPI number1831965102
StatusActive
Last updated in NPPESAug 8, 2025

Details

NPI
1831965102
Entity type
Individual (NPI-1)
Name
Christina Desiree Acosta
Credential
LCSW
Sex
Female
Sole proprietor
No
Enumeration date
Nov 28, 2023
Certification date
Aug 8, 2025
Last updated
Aug 8, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalCSW.09931756COYes
101YM0800X Counselor, Mental HealthCSW.09931756CO

Practice location

3920 E Redfield Ct
Gilbert, AZ 85234-3223

Phone 915-412-9121

Mailing address

6505 S Paris St
Centennial, CO 80111-6500

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