Estelle C D'Costa, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC00362100 Issued in NJ

Practice address

10 Fairmount Ave
Chatham, NJ 07928-2343

Phone

(908) 696-8487

Fax

(206) 203-2168

NPI assigned

Feb 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205979606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 SPRING HOLLOW RD",
            "city": "FAR HILLS",
            "state": "NJ",
            "postal_code": "079312401",
            "telephone_number": "908-696-8487",
            "fax_number": "206-203-2168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FAIRMOUNT AVE",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282343",
            "telephone_number": "908-696-8487",
            "fax_number": "206-203-2168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'COSTA",
        "first_name": "ESTELLE",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00362100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "238856",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL SW",
            "identifier": "NJ44SC00362100",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA BEHAVIORAL HEALTH",
            "identifier": "0007800150",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD INSURANCE",
            "identifier": "P2008179",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Costa, CCC-SLP
• Ricardo F Costa, PT
• Sarah Coulson
• Victoria Crociata, OTR/L
• Matthew Alan Crystal, DMD
• Sonal Dalal, DC
• Mary Lou Daley, LCSW
• Fernando Dangond, M.D.
• Frances Dapas, M.D.
• Danielle Marie Dapiran

• Clinical Social Worker in Chatham, NJ
• Providers in Chatham, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.