Bessie Naomi Costanza, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5175 Issued in TN

Practice address

1821 Haynes St Ste 3
Clarksville, TN 37043

Phone

(931) 980-1584

NPI assigned

Dec 5, 2011

Sex

Female

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": "1323043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1891063897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5451 HIGHWAY 49 W",
            "city": "VANLEER",
            "state": "TN",
            "postal_code": "371815036",
            "telephone_number": "931-980-1584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 HAYNES ST STE 3",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "37043",
            "telephone_number": "931-980-1584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5451 Highway 49 W",
            "address_purpose": "LOCATION",
            "city": "Vanleer",
            "state": "TN",
            "postal_code": "371815036",
            "country_code": "US",
            "telephone_number": "931-980-1584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSTANZA",
        "first_name": "BESSIE",
        "middle_name": "NAOMI",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-05",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cornerstone Pediatrics LLC
• Rob Allen Cornett, B.S.
• Wendell Aaron Cornett, COTA
• Sandra Melissa Corral
• Cosmic Counseling Services, PLLC
• Stephanie Ann Costlow
• Lylia Cotterman
• Stacey Coulter, LPE
• Louis D Couly, PA
• Lillie Counce

• Clinical Social Worker in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.

Verify at the official NPI Registry.