Individual provider · Type 1 NPI

Micaela Costa, LICSW

Clinical Social Worker · Brockton, MA

NPI number 1023317237 Active

Practice location

940 Belmont St
Brockton, MA 02301-5596

Mailing address

200 High Service Ave
North Providence, RI 02904-5113

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XCSW01252 (RI)
Clinical Social Worker Primary 1041C0700XISW02232 (RI)

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 1023317237

Micaela Costa, LICSW's National Provider Identifier is 1023317237, issued on Mar 28, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brockton, MA. The record was last updated on Sep 23, 2020.