Charles T Costa, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC00842500 Issued in NJ

Practice address

50 Morris Ave
St Clare'S Behavioral Health
Denville, NJ 07834-1735

Phone

(973) 625-7009

Fax

(973) 625-7128

NPI assigned

Jan 15, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265583355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 RIVER RD",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076463222",
            "telephone_number": "201-836-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MORRIS AVE",
            "address_2": "ST CLARE'S BEHAVIORAL HEALTH",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078341735",
            "telephone_number": "973-625-7009",
            "fax_number": "973-625-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTA",
        "first_name": "CHARLES",
        "middle_name": "T",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00842500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Conlan
• Rachel Connolly-Kwock
• Melissa Jane Connolly, MD
• Consultants of Ambulatory Anesthesia, LLC
• Vincent Conte, RRT
• Jenna Cotugno, DPT
• Counseling Center for Growth and Development
• Krekamey Craig, MD
• Maria Corina Crisostomo, LPC
• John Critides

• Clinical Social Worker in Denville, NJ
• Providers in Denville, 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.