Individual provider · Type 1 NPI

Suzanne Costallos, LCSW

Clinical Social Worker · Ellsworth, ME

NPI number 1134344724 Active

Practice location

710 Bucksport Rd
Ellsworth, ME 04605-2722

Call (207) 667-6890 Map

Fax (207) 667-6457

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLC10650 (ME)

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 1134344724

Suzanne Costallos, LCSW's National Provider Identifier is 1134344724, issued on Apr 17, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ellsworth, ME. The record was last updated on Aug 13, 2013.