Ana M Costa, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

113616 Issued in MA

Practice address

416 Main St
Melrose, MA 02176-3842

Phone

(781) 864-7729

NPI assigned

Dec 19, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• AMC Counseling Solutions,LLC

  • Clinical Social Worker
  • Peabody, MA
  • NPI 1821600909
  NPD Authorized official

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1265616718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 LAKE SHORE RD",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019041864",
            "telephone_number": "781-864-7729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 MAIN ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763842",
            "telephone_number": "781-864-7729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTA",
        "first_name": "ANA",
        "middle_name": "M",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-19",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Lynne Butman Collins, LICSW
• Complex Trauma Institute LLC
• Connected Pelvic Floor Physical Therapy LLC
• Margaret Connolly, ANP-BC
• Nixon Cornay
• Susan L Courchesne, ATC
• Allen J Criss, MD
• David I Criss, MD
• Michele Crohin, DMD
• Linda Lee Croke-Dipietro, LICSW

• Clinical Social Worker in Melrose, MA
• Providers in Melrose, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.