JENNIFER REBECCA COSTELLO


Address: 41840 Enterprise Cir N, Temecula, CA 92590-5654
Phone: 9512256400

JENNIFER REBECCA COSTELLO (NPI# 1619506250) 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) 1619506250
Entity Type Individual
Full Name JENNIFER REBECCA COSTELLO
Credential LCSW
Practice Address 41840 Enterprise Cir N
Temecula
CA 92590-5654
Practice Telephone 9512256400
Mailing Telephone 9512256400
Mailing Fax Number 8586334697
Enumeration Date 2020-04-06
Last Update Date 2020-06-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
84174 CA Behavioral Health & Social Service Providers

Other Providers JENNIFER COSTELLO

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
1205091832 Jennifer Beth Costello Counselor 11 Glenview St, Upton, MA 01568-1336 2008-07-23
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

Office Location

Street Address 41840 ENTERPRISE CIR N
City TEMECULA
State CA
Zip Code 92590-5654

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649272246 Erik K Koda Family Medicine 41840 Enterprise Cir N, Temecula, CA 92590-5654 2005-08-12
1336749225 Saul Muro Behavior Technician 41840 Enterprise Cir N, Temecula, CA 92590-5654 2020-10-29
1669933115 Saori Guadarrama Kobayashi Social Worker 41840 Enterprise Cir N, Temecula, CA 92590-5654 2019-03-27
1134513039 Vanessa Cobian Family Medicine 41840 Enterprise Cir N, Temecula, CA 92590 2015-03-27
1811308109 Jasleen Singh Family Medicine 41840 Enterprise Cir N, Temecula, CA 92590-5654 2014-05-08
1528366432 Sun-ling Chen Family Medicine 41840 Enterprise Cir N, Temecula, CA 92590-5654 2011-03-02
1912208836 Paul Douglas Brydon Family Medicine 41840 Enterprise Cir N, Temecula, CA 92590-5654 2010-11-09
1437335148 Neighborhood Healthcare Clinic/Center 41840 Enterprise Cir N, Temecula, CA 92590 2008-01-11
1174708275 Derrick W Wright Physician Assistant 41840 Enterprise Cir N, Temecula, CA 92590-5654 2008-01-08
1457496390 Larissa Vishtell Nurse Practitioner 41840 Enterprise Cir N, Temecula, CA 92590-5654 2007-02-20
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497221881 Thangputtevy Melanie Chhea Behavior Technician 41769 Enterprise Circle N. Suite 104 & 105, Temecula, CA 92590 2018-10-23
1447734793 Valleyone Medical LLC Durable Medical Equipment & Medical Supplies 27630 Commerce Center Dr, Ste. F, Temecula, CA 92590 2018-09-22
1730672288 Brittany Heflin Assistant Behavior Analyst 41769 Enterprise Cir N Ste 104-105, Temecula, CA 92590 2018-06-10
1679980239 Brittney Ann Dewall Psychologist 28999 Old Town Front Street, Suite 203, Temecula, CA 92590 2014-07-16
1790102853 Irma Cabral Counselor 42072 5th St Ste 201b, Temecula, CA 92590 2014-03-26
1326461799 Dr Helen H Im Dds Durable Medical Equipment & Medical Supplies 28780 Single Oak Dr #150, Temecula, CA 92590 2014-01-21
1205260130 Canyon Lake Hospice, Inc. Hospice Care, Community Based 41661 Enterprise Cir N Ste 217, Temecula, CA 92590 2013-08-28
1265749105 Audrey Munoz Rehabilitation Practitioner 27268 Via Industria, Temecula, CA 92590 2010-09-13
1902134729 Oprimum Dynamic Achievement Community/Behavioral Health 28364 Vincent Moraga, Suite C, Temecula, CA 92590 2009-12-07
1578792057 Monica Padilla Helvie Marriage & Family Therapist 28581 Old Town Front St # 103, Temecula, CA 92590 2009-07-06
Find all providers in zip 92590

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740813799 Gina Mendez A Licensed Clinical Social Worker P.C. Social Worker 28581 Old Town Front St Ste 201, Temecula, CA 92590-2724 2020-02-18
1548816200 Maribel Delgado Onstott Social Worker 30534 Iron Bark Ct, Temecula, CA 92591-3813 2019-08-16
1154826055 Denise Frisella Social Worker 44701 Calle Hilario, Temecula, CA 92592-1438 2018-03-24
1053829283 Rebecca Cravens Saville Social Worker 44876 Corte Casa, Temecula, CA 92592-1603 2018-01-23
1841731668 Magnum Opus Management Services Social Worker 44065 Margarita Rd Ste 101, Temecula, CA 92592-2741 2017-03-13
1508212994 Sophia Morelli Social Worker 28999 Old Town Front St Ste 101, Temecula, CA 92590-2842 2016-05-04
1306223672 Roxana V Alas Social Worker 28936 Old Town Front St Ste 102, Temecula, CA 92590-2890 2015-05-06
1457768053 Tricia Poche Social Worker 31408 Corte San Leandro, Temecula, CA 92592-6473 2014-07-15
1700217619 Rancho Counseling Center, Inc Social Worker 29645 Rancho California Rd Ste 209, Temecula, CA 92591-5285 2013-12-02
1821423286 Lillian Nunez Social Worker 31555 Rancho Vista Rd, Temecula, CA 92592-3516 2013-09-04
Find all providers in TEMECULA

Competitor

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City TEMECULA
Zip Code 92590

Improve Information

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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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