Individual provider · Type 1 NPI

Patrick Costello, MSW, LCSW

Clinical Social Worker · Boise, ID

NPI number 1699788992 Active

Practice location

9911 Arabian Dr
Boise, ID 83709

Fax (208) 395-1948

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW474 (ID)

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 1699788992

Patrick Costello, MSW, LCSW's National Provider Identifier is 1699788992, issued on Aug 15, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boise, ID. The record was last updated on Apr 8, 2011.