Individual provider · Type 1 NPI

Edward John Costa, L.I.C.S.W.

Clinical Social Worker · Fall River, MA

NPI number 1003961921 Active

Practice location

879 N Main St
Fall River, MA 02720-2625

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1026946 (MA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1003961921

Edward John Costa, L.I.C.S.W.'s National Provider Identifier is 1003961921, issued on Jan 23, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fall River, MA. The record was last updated on Jul 9, 2007.