Individual provider · Type 1 NPI

Ellen Teresa Costilla, LISW

Clinical Social Worker · Albuquerque, NM

NPI number 1871538017 Active

Practice location

2741 Indian School Rd NE
Albuquerque, NM 87106-2653

Call (505) 255-8682 Map

Fax (505) 255-7890

Mailing address

580 Carmel Rd
Belen, NM 87002-9200

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI-04603 (NM)

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 1871538017

Ellen Teresa Costilla, LISW's National Provider Identifier is 1871538017, issued on Jun 20, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Albuquerque, NM. The record was last updated on Jul 7, 2009.