Patricia A Costello, M.S.W., L.M.H.P.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1049 Issued in NE

Practice address

3201 Pioneers Blvd
Suite 202
Lincoln, NE 68502-5963

Phone

(402) 489-9959

Fax

(402) 489-2219

NPI assigned

Jul 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376569723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 PIONEERS BLVD",
            "address_2": "SUITE 202",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685025963",
            "telephone_number": "402-489-9959",
            "fax_number": "402-489-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 PIONEERS BLVD",
            "address_2": "SUITE 202",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685025963",
            "telephone_number": "402-489-9959",
            "fax_number": "402-489-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "credential": "M.S.W., L.M.H.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "85613",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "232826",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80003614126",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Costco Wholesale Corporation
• Ioana Costea
• Darrien Costello-Justus
• Kielee Costello
• Myra Costello, RN-BSN
• Tricia Costephens
• Dominic Costillo
• Martha Rose Costin
• Cotner Chiropractic, P.C.
• Joshua J Cotner, PLADC

• Clinical Social Worker in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Clinical Social Worker in Nebraska

• 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.