Active NPI
Lori Costa, MSW
- Clinical Social Worker
- New Bedford, MA
National Provider Identifier
1457730525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 1061 Pleasant St
New Bedford, MA 02740-6728 - Phone
- (508) 996-8572
- NPI assigned
- May 22, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| School Social Worker | 1041S0200X |
Addresses
Primary practice location
1061 Pleasant St
New Bedford, MA 02740-6728
Mailing address
12 Market St
Unit 1
New Bedford, MA 02740
Phone (504) 577-1631
Other names 1
- Holiday Vega
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432252800000",
"number": "1457730525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 MARKET ST",
"address_2": "UNIT 1",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "02740",
"telephone_number": "504-577-1631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1061 PLEASANT ST",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027406728",
"telephone_number": "508-996-8572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTA",
"first_name": "LORI",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-22",
"last_updated": "2015-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HOLIDAY",
"last_name": "VEGA",
"credential": "MSW",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in New Bedford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.