Active NPI
Kendra Costa
- Social Worker
- New Bedford, MA
National Provider Identifier
1629559745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 121043
- Practice address
- 888 Purchase St Unit 1
New Bedford, MA 02740-6233 - Phone
- (508) 997-6300
- Fax
- (508) 997-1222
- NPI assigned
- Aug 27, 2018
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 121043 | MA | Primary |
Addresses
Primary practice location
888 Purchase St Unit 1
New Bedford, MA 02740-6233
Mailing address
134 Stephen St Apt 3
Dartmouth, MA 02748-1912
Phone (774) 319-4699
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southshore TMS LLC | Past | Accepting new patients | |
| Jonathan H Schwartz MD, PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- New Bedford, MA
- NPI 1528833522
-
- Psychiatry Physician
- New Bedford, MA
- NPI 1801442801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535328000000",
"number": "1629559745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 STEPHEN ST APT 3",
"city": "DARTMOUTH",
"state": "MA",
"postal_code": "027481912",
"telephone_number": "774-319-4699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 PURCHASE ST UNIT 1",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027406233",
"telephone_number": "508-997-6300",
"fax_number": "508-997-1222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTA",
"first_name": "KENDRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-27",
"last_updated": "2018-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "121043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Aug 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.