Active NPIIndividual providerSole proprietor

Kelly E Costello, LCSW

Social Worker, Clinical in Andover, Massachusetts

NPI Number1639389448
Practice location
204 Andover St Ste 403, Andover, MA 01810-5702
Fax
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Last updated
October 25, 2025

Kelly E Costello is a Social Worker, Clinical based in Andover, MA. Kelly E Costello practices in Andover, MA and has the professional credentials of LCSW. The NPI Number for Kelly E Costello is 1639389448 and holds a License No. 1121562 (MA). The current practice location address for Kelly E Costello is 204 Andover St Ste 403, Andover, MA 01810-5702 and can be reached out via phone at 978-409-0179.

Provider Profile Details

NPI Number
1639389448
Provider Name
Kelly E Costello
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
204 Andover St Ste 403, Andover, MA 01810-5702
Phone Number
978-409-0179
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
May 23, 2007
Last Update Date
October 25, 2025
Certification Date
October 25, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
204 Andover St Ste 403
Andover, MA 01810-5702
Zip
01810-5702
Phone Number
978-409-0179
Andover, MA 01810Get directions →

Provider Business Mailing Address Details

Address
5 Sullivan Pkwy
Tewksbury, MA 01876-3929
City
Tewksbury
State
MA
Zip
01876-3929
Phone Number
978-735-5361

License Information

License Number
1121562
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kelly E Costello, LCSW?

The NPI number of Kelly E Costello, LCSW is 1639389448. It was assigned on May 23, 2007 and is currently active in the NPPES registry.

What is the specialty of Kelly E Costello, LCSW?

Kelly E Costello, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1121562.

Where does Kelly E Costello, LCSW practice?

The practice location is 204 Andover St Ste 403, Andover, MA 01810-5702. The office can be reached at 978-409-0179 (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 1639389448 directly on the NPPES registry website.

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