VINCENT THOMAS COSTELLO JR.


Address: 1251 Nilles Rd Ste 5, Fairfield, OH 45014-7205
Phone: 5139390300

VINCENT THOMAS COSTELLO JR. (NPI# 1215439302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215439302
Entity Type Individual
Full Name VINCENT THOMAS COSTELLO JR.
Other Name MR. VINCENT THOMAS COSTELLO JR.
Credential MSW, LISW
Practice Address 1251 Nilles Rd Ste 5
Fairfield
OH 45014-7205
Practice Telephone 5139390300
Practice Fax Number 5139390310
Mailing Telephone 5139390300
Mailing Fax Number 5139390310
Enumeration Date 2018-03-05
Last Update Date 2019-06-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker 1.0001132 OH Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2347 Vine St, Cincinnati, OH 452191745 5136211117

Office Location

Street Address 1251 NILLES RD STE 5
City FAIRFIELD
State OH
Zip Code 45014-7205

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316901812 Dustin Mark Faulkner Counselor 1251 Nilles Rd Ste 5, Fairfield, OH 45014-7205 2006-04-13
1396361945 Compass Point Partners In Wellness, Inc. Counselor 1251 Nilles Rd Ste 5, Fairfield, OH 45014-7205 2020-06-19
1306481197 Karen Durgans Counselor 1251 Nilles Rd Ste 5, Fairfield, OH 45014-7205 2019-11-15
1649811548 Jodi Annette Haley Counselor 1251 Nilles Rd Ste 5, Fairfield, OH 45014 2019-10-01
1487207684 Frank Wamsley Social Worker 1251 Nilles Rd Ste 5, Fairfield, OH 45014-7205 2019-07-17
1922650860 Mariah Goodwin Counselor 1251 Nilles Rd Ste 5, Fairfield, OH 45014-7205 2019-07-11
1316503337 Elizabeth Rosemary Pastina Social Worker 1251 Nilles Rd Ste 5, Fairfield, OH 45014-7205 2019-05-15
1427520287 Aarin Kristin Cox Social Worker 1251 Nilles Rd Ste 5, Fairfield, OH 45014-7205 2018-12-18
1073080685 Gregory William Rogers Counselor 1251 Nilles Rd Ste 5, Fairfield, OH 45014-7205 2018-11-01
1376037069 Julie Arnold Counselor 1251 Nilles Rd Ste 5, Fairfield, OH 45014-7205 2018-06-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326526872 Megan Coleen Hamill Registered Nurse 6570 Sosna Drive, Fairfield, OH 45014 2018-08-06
1831695642 James Grant Walther Contractor 16408 Jeanie Drive, Aurora, IN 45014 2018-04-02
1104339837 Tamara Rochester Registered Nurse 5474 Yellowstone Dr, Fairfield, OH 45014 2017-11-16
1104335892 Barbara Johnson Registered Nurse 2853 Saturn Drive, Fairfield, OH 45014 2017-09-25
1205373537 Samuel E Ghee IIi Counselor Decoach Rehabilitation Center, 6570 Sosna Drive, Fairfield, OH 45014 2017-01-25
1669916789 Lacretia Ancona In Home Supportive Care 700 Wessel Dr #181505, Fairfield, OH 45014 2016-12-08
1134676299 Lynne Mutuku Licensed Practical Nurse 3975 Woodridge Blvd, Apt 10, Fairfield, OH 45014 2016-09-07
1104291020 Mimi Supportive Hands .llc Home Health 6 Ridge Dr Apt 203, Cincinnati, OH 45014 2015-12-03
1215319181 Brittany Beck Social Worker 3050 Mack Rd Ste 205, Fairfield, OH 45014 2015-06-26
1093193278 Ashli Tanner Specialist/Technologist 8790 N. Gilmore Rd., Fairfield, OH 45014 2015-05-08
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609482223 Kelly Kurtz Social Worker 111 Janet Trl, Fairfield, PA 17320-8174 2020-09-18
1962950147 Christina Merlonghi Social Worker 2068 Alford Dr, Fairfield, CA 94534-1861 2016-09-15
1184087660 Beth Segaloff Social Worker 191 Catherine Terrace, Fairfield, CT 06824 2016-04-01
1629454780 Yoberki Reyes Social Worker 145 Adelaide St, Fairfield, CT 06825-7402 2015-07-30
1982089181 Mary Cilio Social Worker 173 Samp Mortar Drive, Fairfield, CT 06824 2015-07-29
1780067967 Dawn Bright Social Worker 519 Iowa St, Fairfield, CA 94533-5227 2015-07-07
1215319181 Brittany Beck Social Worker 3050 Mack Rd Ste 205, Fairfield, OH 45014 2015-06-26
1730508284 Rene' Visser Social Worker 34 Sherman Ct, 2nd Floor, Fairfield, CT 06824 2014-04-14
1821417445 Adam Sump Social Worker 6975 Dixie Highway, Suite A, Fairfield, OH 45014 2014-04-10
1073779278 Geraldine Rembert Curry Social Worker 812 Griswold Rd, Post Office Box 15, Fairfield, AL 35064-2812 2008-08-06
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Competitor

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City FAIRFIELD
Zip Code 45014

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Dataset Information

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.

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