Mrs. Jennifer B Costello, LICSW
Social Worker, Clinical in Upton, Massachusetts
1205091832- Practice location
- 11 Glenview St, Upton, MA 01568-1336
- Phone
- 774-219-3941
- Fax
- —
- Last updated
- October 9, 2020
Jennifer Beth Costello is a Social Worker, Clinical based in Upton, MA. Jennifer Beth Costello practices in Upton, MA and has the professional credentials of LICSW. The NPI Number for Jennifer Beth Costello is 1205091832 and holds a License No. 116826 (MA). The current practice location address for Jennifer Beth Costello is 11 Glenview St, Upton, MA 01568-1336 and can be reached out via phone at 774-219-3941.
Provider Profile Details
- NPI Number
- 1205091832
- Provider Name
- Jennifer Beth Costello
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 11 Glenview St, Upton, MA 01568-1336
- Phone Number
- 774-219-3941
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Other Names
- Ms. Jennifer Beth Good, LICSW (Former Name)
- Provider Enumeration Date
- July 23, 2008
- Last Update Date
- October 9, 2020
- Certification Date
- October 9, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11 Glenview St
Upton, MA 01568-1336 - City
- Upton
- State
- Massachusetts
- Zip
- 01568-1336
- Phone Number
- 774-219-3941
Provider Business Mailing Address Details
- Address
- 11 Glenview St
Upton, MA 01568-1336 - City
- Upton
- State
- MA
- Zip
- 01568-1336
- Phone Number
- 774-219-3941
License Information
- Taxonomy (1)
- Counselor, Mental Health · 101YM0800X
- License Number (2)
- 116826
- License State (2)
- MA
- Taxonomy (2)
- 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 Upton, MA
View all Social Worker, Clinical providers in Upton →- Carole Stratton, MSWSocial Worker, Clinical · NPI 1134745433
- Dr. Satya R Montgomery, PHDSocial Worker, Clinical · NPI 1891855854
- Ellen A Moodie, LICSWSocial Worker, Clinical · NPI 1699841650
- Gallant Psychotherapy PLLCSocial Worker, Clinical · NPI 1639005085
- Helen T SammarcoSocial Worker, Clinical · NPI 1245396332
- Kathleen B Babuska, MSWSocial Worker, Clinical · NPI 1316235567
Frequently Asked Questions
What is the NPI number of Mrs. Jennifer B Costello, LICSW?
The NPI number of Mrs. Jennifer B Costello, LICSW is 1205091832. It was assigned on July 23, 2008 and is currently active in the NPPES registry.
What is the specialty of Mrs. Jennifer B Costello, LICSW?
Mrs. Jennifer B Costello, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 116826.
Where does Mrs. Jennifer B Costello, LICSW practice?
The practice location is 11 Glenview St, Upton, MA 01568-1336. The office can be reached at 774-219-3941 (phone).
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 1205091832 directly on the NPPES registry website.