MS. COURTNEY COSTELLO (NPI# 1710334545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710334545 |
| Entity Type | Individual |
| Full Name | MS. COURTNEY COSTELLO |
| Credential | LCSW |
| Practice Address |
750 Waverly Ave Holtsville NY 11742-1108 |
| Mailing Address |
40 W 4th St Apt 82 Patchogue NY 11772-2129 |
| Practice Telephone | 6312184115 |
| Mailing Telephone | 6313271143 |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2020-05-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | 096358-1 | NY | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
089211 | NY | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3600 Ny-112, Coram, NY 11727 | 6319208500 | 6319208501 |
| Street Address |
750 WAVERLY AVE |
| City | HOLTSVILLE |
| State | NY |
| Zip Code | 11742-1108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386073039 | Heather Curran Davidson | Audiologist | 750 Waverly Ave, Holtsville, NY 11742-1108 | 2013-11-04 |
| 1871039586 | Shannon Elizabeth Cattani | Speech-Language Pathologist | 750 Waverly Ave, Holtsville, NY 11742-1108 | 2017-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659907210 | Brittany Ann Rachuta | Licensed Practical Nurse | 11 Spiral Rd, Holtsville, NY 11742 | 2020-03-16 |
| 1679075089 | Gertha Therese Benoit-hollis | Nurse Practitioner | 5 Fisk Rd, Holtsville, NY 11742 | 2018-03-01 |
| 1437665031 | Amanda Namorato | Speech-Language Pathologist | 1111 Waverly Ave, Holtsville, NY 11742 | 2017-12-18 |
| 1003363656 | Dana Ann Vincent | Registered Nurse | 355 Plad Boulevard, Holtsville, NY 11742 | 2016-09-01 |
| 1992178792 | Fazila Duman | Social Worker | 98 5th Ave, Holtsville, NY 11742 | 2015-11-03 |
| 1659767648 | Suzana X Sula | Licensed Practical Nurse | 263 Blue Point, Long Island, NY 11742 | 2015-04-07 |
| 1366787707 | Rodolfo Diaz Deoquino Sr. | General Practice | 27 Summerfield Drive, Holtsville, NY 11742 | 2012-12-11 |
| 1154441004 | Barbara Ann De Feo | Nurse Practitioner | 107 West Main St., East Islip, NY 11742 | 2007-03-31 |
| 1013051341 | Maryhaven Center of Hope Inc. | Intermediate Care Facility, Mentally Retarded | 298 Long Island Avenue, Holtsville, NY 11742 | 2007-02-19 |
| 1093861650 | Jessica Arnoux Speech Therapy | Local Education Agency (LEA) | 18 Glen Hollow Drive F5, Holtsville, NY 11742 | 2007-01-26 |
| Find all providers in zip 11742 | ||||
| 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 |
|---|---|---|---|---|
| 1891815882 | Michael L Miles | Social Worker | 755 Waverly Ave Ste 216, Holtsville, NY 11742-1125 | 2007-03-31 |
| 1568590131 | Dennis Damato | Social Worker | 221 Woodycrest Dr, Holtsville, NY 11742-1714 | 2007-03-02 |
| 1851474456 | Luz Idalia Torres | Social Worker | 245 Long Island Ave, Holtsville, NY 11742-1822 | 2006-10-24 |
| 1861573636 | Yvonne Marie Pratt | Social Worker | 755 Waverly Ave, Holtsville, NY 11742-1190 | 2006-10-18 |
| 1053410761 | Girjah Budhan | Social Worker | 34 Blueberry Ridge Drive, Holtsville, NY 11742 | 2006-09-21 |
| 1255355152 | Iris Richman Pappalardo | Social Worker | 239 Blue Point Rd W, Holtsville, NY 11742-2222 | 2006-07-26 |
| 1831375534 | Panna Bhatt | Social Worker | 755 Waverly Ave, Suite 205a, Holtsville, NY 11742-1190 | 2008-01-14 |
| 1568519759 | Lisa Ann Brandi | Social Worker | 755 Waverly Ave, Ste 204a, Holtsville, NY 11742-1190 | 2007-01-03 |
| 1548345986 | Gail A Vodopija | Social Worker | 755 Waverly Ave, Suite 305, Holtsville, NY 11742-1190 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952129 | Elizabeth E Pascuzzi | Social Worker | 17 Copiague Pl, Copiague, NY 11726-3301 | 2020-11-08 |
| 1649871781 | Samantha Rizzo-bohsali | Social Worker | 20 Clermont Pl, Staten Island, NY 10314-4020 | 2020-11-05 |
| 1194326470 | Qwest Therapy Lcsw Pllc | Social Worker | 61 Fassitt Dr, Mahopac, NY 10541-3803 | 2020-11-04 |
| 1801497060 | Mary Beth Davis-steyer | Social Worker | 14 Cottonwood Cir, Saugerties, NY 12477-9300 | 2020-11-04 |
| 1538760905 | Herby Simonis | Social Worker | 10925 200th St, Saint Albans, NY 11412-1223 | 2020-11-03 |
| 1548861982 | Carl Joy Adelman | Social Worker | 15 Cisney Avenue, Floral Park, NY 11001-3249 | 2020-11-03 |
| 1831790195 | Emily Phyllis Wood | Social Worker | 6 Automation Ln Ste 112/113, Albany, NY 12205-1668 | 2020-11-03 |
| 1417558065 | Elizabeth Fagan | Social Worker | 108 E 91st St Apt 4c, New York, NY 10128-1659 | 2020-11-02 |
| 1255932885 | Kim Marie Yancey | Social Worker | 145 E 126th St Apt 3f, New York, NY 10035-1727 | 2020-11-02 |
| 1427659945 | Katherine Rechnio | Social Worker | 39 Horizon Farms Dr # 1, Warwick, NY 10990-2261 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
| City | HOLTSVILLE |
| Zip Code | 11742 |
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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.