Individual provider · Type 1 NPI

Courtney Costello, LCSW

Clinical Social Worker · Holtsville, NY

NPI number 1710334545 Active

Practice location

750 Waverly Ave
Holtsville, NY 11742-1108

Call (631) 218-4115 Map

Mailing address

40 W 4th St Apt 82
Patchogue, NY 11772-2129

Other practice locations

  • 3600 NY-112, Coram, NY 11727 · (631) 920-8500

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X096358-1 (NY)
Social Worker 104100000XNone listed
Clinical Social Worker Primary 1041C0700X089211 (NY)

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…

4 other providers at this address

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About NPI 1710334545

Courtney Costello, LCSW's National Provider Identifier is 1710334545, issued on May 23, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Holtsville, NY. The record was last updated on May 11, 2020.