Individual provider · Type 1 NPI

Kathleen M. Costello, LICSW

Clinical Social Worker · St. Albans, VT

NPI number 1013408988 Active

Practice location

12 Fairfield Hill Rd
St. Albans, VT 05478-9634

Call (802) 524-1700 Map

Fax (802) 524-1777

Mailing address

30 Airport Rd
South Burlington, VT 05403-6432

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X089.0000941 (VT)

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 1013408988

Kathleen M. Costello, LICSW's National Provider Identifier is 1013408988, issued on May 25, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Albans, VT. The record was last updated on May 25, 2018.