Individual provider · Type 1 NPI

Jennifer Costello, LCSW, RD

Clinical Social Worker · Oak Park, IL

NPI number 1659798205 Active

Practice location

6601 North Ave
Oak Park, IL 60302

Other practice locations

  • 1235 SE Morrison St, Portland, OR 97214-2462 · (503) 376-7114

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XL6842 (OR)
Clinical Social Worker 1041C0700XCW018565 (PA)
Registered Dietitian 133V00000XLDD10176233 (OR)
Clinical Social Worker Primary 1041C0700X149020773 (IL)

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…

20 other providers at this address

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About NPI 1659798205

Jennifer Costello, LCSW, RD's National Provider Identifier is 1659798205, issued on Mar 20, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Oak Park, IL. The record was last updated on Jul 21, 2022.