Provider Demographics
NPI:1629421052
Name:ACOSTA, ADRIANA (MSW LCSW)
Entity Type:Individual
Prefix:
First Name:ADRIANA
Middle Name:
Last Name:ACOSTA
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:851 FRANKLIN LAKE RD STE 105
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07417-2267
Mailing Address - Country:US
Mailing Address - Phone:201-904-2230
Mailing Address - Fax:201-904-2232
Practice Address - Street 1:851 FRANKLIN LAKE RD STE 105
Practice Address - Street 2:
Practice Address - City:FRANKLIN LAKES
Practice Address - State:NJ
Practice Address - Zip Code:07417-2267
Practice Address - Country:US
Practice Address - Phone:201-904-2230
Practice Address - Fax:201-904-2232
Is Sole Proprietor?:No
Enumeration Date:2016-07-20
Last Update Date:2018-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC056852001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical