Individual provider Active NPI

Lina Costelloe, LCSW

  • Clinical Social Worker
  • Evanston, IL
National Provider Identifier
1588068894
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.016918 Issued in IL
Practice address
2550 Crawford Ave Ste 22
Evanston, IL 60201-4983
Phone
(847) 512-7225
NPI assigned
Oct 15, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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 149.016918 IL Primary

Addresses

Primary practice location

2550 Crawford Ave Ste 22
Evanston, IL 60201-4983

Mailing address

2824 Orchard LN
Wilmette, IL 60091-2144
Phone (773) 870-9839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191217002329 IL Practitioner - Clinical Social Worker 9739513110 Reassigns benefits to 1 organization
Practice locations: Evanston, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Loyola University of Chicago, Stritch School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2824 Orchard LN
Wilmette, IL 60091-2144
Phone (773) 870-9839

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.016918ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
On Point Counseling Inc Clinical CurrentSince Jul 24, 2025 Accepting new patients
Unify Counseling Inc Clinical CurrentSince Jan 13, 2021 Accepting new patients
DPT Holdings, LLC PastSince Jul 2, 2023 Accepting new patients

Locations

2550 Crawford Ave
Ste 22
Evanston, IL 60201
Phone (847) 512-7225

701 Main St
Ste 203
Evanston, IL 60202
Phone (847) 906-3005

400 Central Ave
Ste 220
Northfield, IL 60093
Phone (847) 221-2222

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1588068894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2824 ORCHARD LN",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912144",
            "telephone_number": "773-870-9839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 CRAWFORD AVE STE 22",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014983",
            "telephone_number": "847-512-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTELLOE",
        "first_name": "LINA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-15",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.016918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.