Organization · Type 2 NPI

Costa Therapy Services

Clinical Social Worker · Rumford, RI

NPI number 1154919496 Active

Practice location

1240 Pawtucket Ave Ste 3
Rumford, RI 02916-1431

Mailing address

PO Box 41335
Providence, RI 02940-1335

Other practice locations

  • 1 Louisa St, Providence, RI 02905-2014 · (401) 400-2023

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Social Worker 104100000XNone listed
Clinical Social Worker Primary 1041C0700XNone listed
School Social Worker 1041S0200XNone listed
Adult Mental Health Clinic/Center 261QM0850XNone listed
Adolescent and Children Mental Health Clinic/Center 261QM0855XNone listed

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…

Another provider at this address

About NPI 1154919496

Costa Therapy Services's National Provider Identifier is 1154919496, issued on Jan 4, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rumford, RI. The record was last updated on Jan 11, 2021.