Courtney Costa, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

3117 Whiting Ave
Charlotte, NC 28205-1648

Phone

(919) 866-2273

NPI assigned

Jul 19, 2017

Last updated

Sep 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Costa Counseling PLLC

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1194447193
  NPD Authorized official

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1255854550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3339 STOCKTIE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282106476",
            "telephone_number": "919-866-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3117 WHITING AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282051648",
            "telephone_number": "919-866-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "199 S. Herlong Avenue",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "NC",
            "postal_code": "29732",
            "country_code": "US",
            "telephone_number": "803-323-6398",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "309 S Sharon Amity Rd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282112886",
            "country_code": "US",
            "telephone_number": "704-319-5593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSTA",
        "first_name": "COURTNEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David A. Cosenza, MD
• Graham Harvey Cosper, M.D.
• Abigail Cossaart
• Costa Counseling PLLC
• Alessandro Costa Da Silva, DDS
• Vincent Costa, DR.
• Costco Wholesale Corporation
• Costco Wholesale Corporation (Costco Hearing Aid #359)
• Costco Wholesale Corporation (Costco Optical #359)
• Jose Perez Coste, MD

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.