MRS. JENNIFER BETH COSTELLO (NPI# 1205091832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205091832 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER BETH COSTELLO |
| Other Name | MS. JENNIFER BETH GOOD |
| Credential | LICSW |
| Practice Address |
11 Glenview St Upton MA 01568-1336 |
| Practice Telephone | 7742193941 |
| Mailing Telephone | 7742193941 |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2020-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
116826 | MA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Taunton Grn, Taunton, MA 027803225 | 5088224027 | |
| 7 Dean St, Taunton, MA 027802725 | 5088220006 | 5088808627 |
| 288 West St Ste 3b, Milford, MA 017571234 | 7742193941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705694 | Jennifer Costello | Nurse Practitioner | 336 Forest St, Lagrange, OH 44050-9685 | 2019-11-25 |
| 1538649546 | Jennifer Costello | Registered Nurse | 5718 Spanish Dawn, San Antonio, TX 78222-3470 | 2018-08-19 |
| 1548621634 | Jennifer Ann Costello | Social Worker | 157 Fisher Ave, Suite 9, Eastchester, NY 10709-2600 | 2016-03-16 |
| 1104075746 | Jennifer A Costello | Social Worker | 329 Malapardis Rd, Morris Plains, NJ 07950-3261 | 2008-09-18 |
| 1619506250 | Jennifer Rebecca Costello | Social Worker | 41840 Enterprise Cir N, Temecula, CA 92590-5654 | 2020-04-06 |
| 1346711223 | Jennifer Costello | Nurse Practitioner | 111 S 11th St, Philadelphia, PA 19107-4824 | 2018-12-17 |
| 1497111314 | Jennifer Costello | Counselor | 156 S State St, Dover, DE 19901-7314 | 2016-01-07 |
| 1659798205 | Jennifer Costello | Social Worker | 6601 North Ave, Oak Park, IL 60302 | 2014-03-20 |
| 1205251139 | Jennifer Ann Costello | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2014-03-01 |
| 1033468061 | Jennifer Costello | Registered Nurse | 911 W Hudson Blvd, Gastonia, NC 28052-6430 | 2012-09-06 |
| Street Address |
11 GLENVIEW ST |
| City | UPTON |
| State | MA |
| Zip Code | 01568-1336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033690904 | Laurie M Dupre | Social Worker | 17 Whitney Lane, Upton, MA 01568 | 2018-08-28 |
| 1053831958 | Jessica Angela Polselli | Licensed Practical Nurse | 135 Glen Ave, Upton, MA 01568 | 2017-06-21 |
| 1487851580 | Hopedale Cardiology, PC | Specialist | 236 Milford St., Upton, MA 01568 | 2007-07-02 |
| 1164550554 | Nancy Jean Steffen | Counselor | Riverside Community Care, 206 Milford St., Upton, MA 01568 | 2007-02-28 |
| 1164583548 | Sandra Felder | Psychiatry & Neurology | 206 Milford Street, Upton, MA 01568 | 2006-12-12 |
| 1114974185 | Meredith L Rice | Chiropractor | 130 High St, Box 145, Upton, MA 01568 | 2006-05-27 |
| 1053533695 | Janet Lee Goguen | Dentist | 113 Main St, Upton, MA 01568 | 2007-05-03 |
| 1841258092 | Sharon Forsmo | Internal Medicine | 236 Milford St, Upton, MA 01568 | 2006-05-03 |
| 1922068485 | Lindsay T Shepard | Physician Assistant | 236 Milford St, Upton, MA 01568 | 2006-03-27 |
| 1194348326 | Matthew Ryan Dubois | Psychologist | 3 Mayflower Dr, Upton, MA 01568-0135 | 2020-05-21 |
| Find all providers in zip 01568 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033690904 | Laurie M Dupre | Social Worker | 17 Whitney Lane, Upton, MA 01568 | 2018-08-28 |
| 1578678694 | Marcel Descheneaux | Social Worker | 206 Milford St, Upton, MA 01568-1309 | 2006-08-20 |
| 1134745433 | Carole Stratton | Social Worker | 206 Milford St, Upton, MA 01568-1309 | 2020-06-22 |
| 1023592003 | Diane C Judd | Social Worker | 51 Glen Ave, Upton, MA 01568-1718 | 2018-09-17 |
| 1518446038 | Lisa Lucia Hamed | Social Worker | 21 Dogwood Dr, Upton, MA 01568-1690 | 2018-08-07 |
| 1548689011 | Nicole Phillips | Social Worker | 206 Milford St, Upton, MA 01568-1309 | 2014-04-14 |
| 1083047393 | Alicia Dallas Murray | Social Worker | 206 Milford St, Upton, MA 01568-1309 | 2013-08-10 |
| 1316235567 | Kathleen Bruder Babuska | Social Worker | 206 Milford St, Upton, MA 01568-1309 | 2011-07-20 |
| 1518270255 | Deborah Druar | Social Worker | 206 Milford St, Upton, MA 01568-1309 | 2010-07-22 |
| 1053549238 | Savann Donovan | Social Worker | 206 Milford St, Upton, MA 01568-1309 | 2009-06-26 |
| Find all providers in UPTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.