Individual provider · Type 1 NPI

Ann P. Costello, LCSW

Clinical Social Worker · Portland, ME

NPI number 1700199015 Active

Practice location

25 Middle St
Portland, ME 04101-4869

Call (207) 653-7200 Map

Mailing address

202 Maine Ave
Portland, ME 04103-3906

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLC9494 (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 1700199015

Ann P. Costello, LCSW's National Provider Identifier is 1700199015, issued on Jul 16, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, ME. The record was last updated on Jul 16, 2010.