Active NPI
Dia Claire Costello I, LICSW
- Clinical Social Worker
- Glen Echo, MD
National Provider Identifier
1538575196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC302342
- Practice address
- 6100 Harvard Ave
Glen Echo, MD 20812-1116 - Phone
- (301) 263-9616
- NPI assigned
- Jul 3, 2014
- Last updated
- Jul 3, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC302342 | DC | Primary |
Addresses
Primary practice location
6100 Harvard Ave
Glen Echo, MD 20812-1116
Mailing address
5402 Connecticut Ave NW Ste 102B
Washington, DC 20015-2857
Phone (301) 538-7784
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
| License | State | Type | Specialty |
|---|---|---|---|
| LC302342 | DC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404345600000",
"number": "1538575196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5402 CONNECTICUT AVE NW STE 102B",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200152857",
"telephone_number": "301-538-7784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 HARVARD AVE",
"city": "GLEN ECHO",
"state": "MD",
"postal_code": "208121116",
"telephone_number": "301-263-9616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTELLO",
"first_name": "DIA",
"middle_name": "CLAIRE",
"name_prefix": "Ms.",
"name_suffix": "I",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-03",
"last_updated": "2014-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC302342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Echo, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.