Kathleen M Costello, LICSW
Individual provider Active NPI Clinical Social Worker · Saint Albans, VT
NPI 1013408988 · NPPES record last updated May 25, 2018
Key facts
- NPI
- 1013408988
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 089.0000941 (VT)
- Practice address
- 12 Fairfield Hill Rd
Saint Albans, VT 05478-9634 - Phone
- (802) 524-1700
- Fax
- (802) 524-1777
- NPI assigned
- May 25, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 089.0000941 | VT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nfi Vermont, Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 089.0000941 | VT | Yes |
Addresses
Primary practice location
12 Fairfield Hill Rd
Saint Albans, VT 05478-9634
Mailing address
30 Airport Rd
S Burlington, VT 05403-6432
Phone (802) 658-0040
Other providers in Saint Albans, VT
- Veronica Cook
- Benjamin P Cooke
- Mark Coons
- Eugenia Lamet Corbett
- Meghan Corrigan
- Kim Cotnoir
- Stephen Cousino
- Jennifer Marie Covino
- CPL Premier Therapy LLC
- Patricia Ann Crocker
All providers in Saint Albans, VT · Clinical Social Worker in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.