Individual provider · NPI-1

Larissa Acosta

Social Worker · Phoenix, AZ

NPI number1962397398
StatusActive
Last updated in NPPESJun 9, 2025

Details

NPI
1962397398
Entity type
Individual (NPI-1)
Name
Larissa Acosta
Sex
Female
Sole proprietor
No
Enumeration date
Jun 9, 2025
Certification date
Jun 9, 2025
Last updated
Jun 9, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social WorkerLMSW-08253TAZYes

Practice location

3420 E Shea Blvd Ste 188
Phoenix, AZ 85028-3354

Phone 602-633-5474

Mailing address

815 E Colter St Apt 396
Phoenix, AZ 85014-3150

Phone 480-862-0841

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