Kayden Clubb Costello

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1931 New Garden Rd Ste 210
Greensboro, NC 27410-2558

Phone

(336) 405-2601

NPI assigned

Jun 24, 2025

Sex

Male

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

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

{
    "created_epoch": "1750723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1598653263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3524 FARMINGTON DR APT C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274075785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 NEW GARDEN RD STE 210",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102558",
            "telephone_number": "336-405-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "KAYDEN",
        "middle_name": "CLUBB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-24",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Sara Costella, DPT
• Vincent J Costella, PAC
• Vania Zaneta Costner, LCAS-A
• Doris Cotten, MSN, APRN, BC
• Carey Gordon Cottle Jr., MD
• Chandler Cottle, PHARMD
• Rebecca Fanning Cottle, PHARMD

• All providers in Greensboro, NC
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.