Individual provider · Type 1 NPI

Jacqueline Costello

Clinical Social Worker · Boston, MA

NPI number 1578439386 Active

Practice location

1340 Soldiers Field Rd Ste 1-112
Boston, MA 02135-1000

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW2141016 (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 1578439386

Jacqueline Costello's National Provider Identifier is 1578439386, issued on Oct 17, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boston, MA. The record was last updated on Oct 17, 2025.