- Practice location
- 710 Bucksport RD, Ellsworth, ME 04605-2722
- Phone
- 207-667-6890
- Fax
- 207-667-6457
- Last updated
- August 13, 2013
Suzanne Costallos is a Social Worker, Clinical based in Ellsworth, ME. Suzanne Costallos practices in Ellsworth, ME and has the professional credentials of LCSW. The NPI Number for Suzanne Costallos is 1134344724 and holds a License No. LC10650 (ME). The current practice location address for Suzanne Costallos is 710 Bucksport RD, Ellsworth, ME 04605-2722 and can be reached out via phone at 207-667-6890 and via fax at 207-667-6457.
Provider Profile Details
- NPI Number
- 1134344724
- Provider Name
- Suzanne Costallos
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 710 Bucksport RD, Ellsworth, ME 04605-2722
- Phone Number
- 207-667-6890
- Fax Number
- 207-667-6457
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 17, 2007
- Last Update Date
- August 13, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 710 Bucksport RD
Ellsworth, ME 04605-2722 - City
- Ellsworth
- State
- Maine
- Zip
- 04605-2722
- Phone Number
- 207-667-6890
- Fax Number
- 207-667-6457
Provider Business Mailing Address Details
- Address
- 710 Bucksport RD
Ellsworth, ME 04605-2722 - City
- Ellsworth
- State
- ME
- Zip
- 04605-2722
- Phone Number
- 207-667-6890
- Fax Number
- 207-667-6457
License Information
- License Number
- LC10650
- License State
- ME
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Ellsworth, ME
View all Social Worker, Clinical providers in Ellsworth →- Alicia A Duncan, LMSW-CCSocial Worker, Clinical · NPI 1902494297
- Andrea Gabel-Richards, LCSWSocial Worker, Clinical · NPI 1912069972
- Barbara E. Bland, LLCSocial Worker, Clinical · NPI 1194057463
- David M Harlan, LCSWSocial Worker, Clinical · NPI 1780776179
- Dr. Barbara K Hanna, LCSW, PHD, BCDSocial Worker, Clinical · NPI 1821127291
- Dr. Thomas D Hansen, LCSWSocial Worker, Clinical · NPI 1396806345
Frequently Asked Questions
What is the NPI number of Suzanne Costallos, LCSW?
The NPI number of Suzanne Costallos, LCSW is 1134344724. It was assigned on April 17, 2007 and is currently active in the NPPES registry.
What is the specialty of Suzanne Costallos, LCSW?
Suzanne Costallos, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number LC10650.
Where does Suzanne Costallos, LCSW practice?
The practice location is 710 Bucksport RD, Ellsworth, ME 04605-2722. The office can be reached at 207-667-6890 (phone) or 207-667-6457 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134344724 directly on the NPPES registry website.