Nicole Leigh Costa, MSW LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

114251 Issued in MA

Practice address

170 Water St
Hope by the Sea
Plymouth, MA 02360-3977

Phone

(508) 982-6092

NPI assigned

Dec 13, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• SB Transitional Sub, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brockton, MA
  • NPI 1962091173
  NPD (past)
• South Bay Mental Health Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brockton, MA
  • NPI 1023096864
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1942361019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 WATER ST",
            "address_2": "HOPE BY THE SEA",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023603977",
            "telephone_number": "508-982-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 WATER ST",
            "address_2": "HOPE BY THE SEA",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023603977",
            "telephone_number": "508-982-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTA",
        "first_name": "NICOLE",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "MSW  LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christen Noel Correira, MSW, LICSW
• Juliann Corsini, MD
• Lee I Corwin, MD PC
• Colleen Coscia
• Jean M Costa McCutcheon
• Tiffany L. Costa, M..A.
• Lauren Marie Coste, RPH
• Christina Marie Costello Cioffi, LCSW
• Daniel Robert Costin
• Donna Marie Cotter, L.M.H.C.

• Clinical Social Worker in Plymouth, MA
• Providers in Plymouth, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.