Provider Demographics
NPI:1447891262
Name:ACOSTA, CATHERINE (SW)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:ACOSTA
Suffix:
Gender:F
Credentials:SW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1321 SHREINER RD APT 206
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-2514
Mailing Address - Country:US
Mailing Address - Phone:213-330-9327
Mailing Address - Fax:
Practice Address - Street 1:1 SOUTH GEORGE ST
Practice Address - Street 2:
Practice Address - City:MILLERSVILLE
Practice Address - State:PA
Practice Address - Zip Code:17551-4509
Practice Address - Country:US
Practice Address - Phone:717-299-6372
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-02
Last Update Date:2020-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker