Active NPI
Christine Costa, LCSW
- Clinical Social Worker
- Tinton Falls, NJ
National Provider Identifier
1699298240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05462400
- Practice address
- 3000 Essex Rd
Tinton Falls, NJ 07753-2400 - Phone
- (732) 643-2070
- Fax
- (732) 643-2015
- NPI assigned
- Jul 25, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 44SC05462400 | NJ | Primary |
Addresses
Primary practice location
3000 Essex Rd
Tinton Falls, NJ 07753-2400
Mailing address
5525 Research Park Dr FL 4
Baltimore, MD 21228-4873
Phone (732) 643-2070
Other practice location 1
535 Mountain Ave
New Providence, NJ 07974-2002
Phone (908) 516-9245
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05462400 | NJ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602633600000",
"number": "1699298240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5525 RESEARCH PARK DR FL 4",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212284873",
"telephone_number": "732-643-2070",
"fax_number": "732-643-2015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 ESSEX RD",
"city": "TINTON FALLS",
"state": "NJ",
"postal_code": "077532400",
"telephone_number": "732-643-2070",
"fax_number": "732-643-2015"
}
],
"practiceLocations": [
{
"address_1": "535 Mountain Ave",
"address_purpose": "LOCATION",
"city": "New Providence",
"state": "NJ",
"postal_code": "079742002",
"country_code": "US",
"telephone_number": "908-516-9245",
"fax_number": "908-516-9265",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COSTA",
"first_name": "CHRISTINE",
"name_prefix": "Miss",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-25",
"last_updated": "2020-10-14",
"certification_date": "2020-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05462400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tinton Falls, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.