Individual provider Active NPI

Kathleen Bridget Costello, L.C.S.W.

  • Clinical Social Worker
  • Gladstone, MO
National Provider Identifier
1144243635
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
002099 Issued in MO
Practice address
6651 N Oak Trfy
Suite 13
Gladstone, MO 64118-3332
Phone
(816) 453-2233
Fax
(816) 453-2266
NPI assigned
Jul 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 002099 MO Primary

Addresses

Primary practice location

6651 N Oak Trfy
Suite 13
Gladstone, MO 64118-3332

Mailing address

6651 N Oak Trfy
Suite 13
Gladstone, MO 64118-3332
Phone (816) 453-2233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080508000057 MO Practitioner - Clinical Social Worker 6406935014 Practice locations: Kansas City, MO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1201 NW Briarcliff Pkwy
FL 2
Kansas City, MO 64116-1878
Phone (816) 287-8809

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002099MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Psychiatry & Counseling, Inc Clinical PastSince Jan 15, 2002 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144243635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6651 N OAK TRFY",
            "address_2": "SUITE 13",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641183332",
            "telephone_number": "816-453-2233",
            "fax_number": "816-453-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6651 N OAK TRFY",
            "address_2": "SUITE 13",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641183332",
            "telephone_number": "816-453-2233",
            "fax_number": "816-453-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "KATHLEEN",
        "middle_name": "BRIDGET",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "002099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gladstone, MO

Sources for this page

Verify at the official NPI Registry.