Laura Marie Costello, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW022662 Issued in PA

Practice address

223 W Broad St
Hazleton, PA 18201-6201

Phone

(570) 455-9902

NPI assigned

Feb 20, 2023

Last updated

Feb 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in PA

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

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Total Life IncGroup PAC ID 8123433034, 113 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Total Life Inc.

  • Group Psychotherapy Psychologist
  • Jupiter, FL
  • NPI 1053909267

  PA

  Medicare reassignment Care Compare group NPD
• Total Life FL PA

  dba Total Life

  • Integrative Medicine Physician
  • Potomac, MD
  • NPI 1447057286

  PA

  Medicare reassignment NPD
• Pathway to Recovery Counseling & Educational Services

  • Addiction (Substance Use Disorder) Counselor
  • Hazleton, PA
  • NPI 1609889351
  NPD
• Sando's Whole Life Center for Health LLC

  • Chiropractor
  • Drums, PA
  • NPI 1639769136
  NPD (past)
• Whole Life Center for Health, LTD.

  • Chiropractor
  • Drums, PA
  • NPI 1700890795
  NPD (past)

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1871291849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 W BROAD ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182016201",
            "telephone_number": "570-455-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 W BROAD ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182016201",
            "telephone_number": "570-455-9902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 N Hunter Hwy",
            "address_purpose": "LOCATION",
            "city": "Drums",
            "state": "PA",
            "postal_code": "182222070",
            "country_code": "US",
            "telephone_number": "570-788-4484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "LAURA",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW022662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas J Ciotola, MD
• Clearvision Health and Wellness, LLC (Clearvision Health and Wellness)
• Maiya Clouser
• Veronica Coppersmith, D.O.
• Jillian M Corra, DC
• Howard J. Cox, MD
• Dawn Christina Cramer, LSW
• Wilton Curiel Rosa, PA
• Theresa Marie Curvey, CRNP
• Anthomy Joseph Dangelo Sr., DDS

• Clinical Social Worker in Hazleton, PA
• Providers in Hazleton, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.