Individual provider Active NPI

Scott L Costello, MSW LCSW

  • Clinical Social Worker
  • Frankfort, IL
National Provider Identifier
1326151382
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149-009346 Issued in IL
Practice address
20855 S Lagrange Rd Ste 202
Frankfort, IL 60423-2042
Phone
(815) 806-9300
Fax
(815) 806-3076
NPI assigned
Aug 16, 2006
Last updated
Sep 13, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149-009346 IL Primary

Addresses

Primary practice location

20855 S Lagrange Rd Ste 202
Frankfort, IL 60423-2042

Mailing address

20855 S Lagrange Rd Ste 202
Frankfort, IL 60423-2042
Phone (815) 806-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149-009346ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Solutions Counseling Past Accepting new patients
Personal Solutions Counseling, PC Clinical Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1326151382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20855 S LAGRANGE RD STE 202",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604232042",
            "telephone_number": "815-806-9300",
            "fax_number": "815-806-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20855 S LAGRANGE RD STE 202",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604232042",
            "telephone_number": "815-806-9300",
            "fax_number": "815-806-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "SCOTT",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "MSW LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-009346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; 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.