Andrea Costa

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

090666 Issued in NY

Practice address

1 Union SQ S
New York, NY 10003-4183

Phone

(347) 450-7971

NPI assigned

Sep 25, 2023

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.

• Brooklyn Psychotherapy, LCSW, PC

  • Clinical Social Worker
  • Brooklyn, NY
  • NPI 1356746515
  NPD (past)

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1548049091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 UNION SQ S APT 21J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034192",
            "telephone_number": "917-359-6932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 UNION SQ S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034183",
            "telephone_number": "347-450-7971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTA",
        "first_name": "ANDREA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "090666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Costa Berkshire Group LLC
• Isadora Costa Chacon, M.D.
• Marina Costa Pena, MHC-LP
• Lisley Carolinne Costa Siqueira, LMSW
• Alyssa Nicole Costa, PA
• Constantin Costa, DDS
• Daniela Gesteira Costa, PT
• Geraldine A Costa, PH.D., LCSW
• Ivaldo Costa, LMSW
• Joseph Luis Costa, RPA-C

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.