Costa Therapy Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

COSTA THERAPY SERVICES

Practice address

1240 Pawtucket Ave Ste 3
Rumford, RI 02916-1431

Phone

(401) 400-2023

NPI assigned

Jan 4, 2021

Last updated

Jan 11, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cristina M Costa, LICSWNPI 1295138766

Title

Social Worker

Phone

(401) 400-2023

Specialties & licenses 6

Addresses

Electronic endpoints 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cristina M Costa, LICSW

  • Clinical Social Worker
  • Rumford, RI
  • NPI 1295138766
  NPD Authorized official

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1154919496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41335",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029401335",
            "telephone_number": "401-400-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 PAWTUCKET AVE STE 3",
            "city": "RUMFORD",
            "state": "RI",
            "postal_code": "029161431",
            "telephone_number": "401-400-2023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Louisa St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029052014",
            "country_code": "US",
            "telephone_number": "401-400-2023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COSTA THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "COSTA",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "401-400-2023",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ccosta@costatherapyservices.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1 Louisa St",
            "city": "Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029052014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ccosta@costatherapyservices.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1240 Pawtucket Ave",
            "city": "Rumford",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029161427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bethany Ann Carroll, RPH
• Karen Marie Chase, N.P.
• Benjamine Louise Choiniere, MSW
• Samantha Clark
• John Conley, D.C.
• Cristina M Costa, LICSW
• Michaella D Costa
• Counseling Services of Rhode Island
• Darcie Marie Crawford, BCBA
• Stephen Creamer, ATC

• Clinical Social Worker in Rumford, RI
• Providers in Rumford, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.