MS. ELLEN TERESA COSTILLA (NPI# 1871538017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871538017 |
| Entity Type | Individual |
| Full Name | MS. ELLEN TERESA COSTILLA |
| Credential | LISW |
| Practice Address |
2741 Indian School Rd Ne Albuquerque NM 87106-2653 |
| Mailing Address |
580 Carmel Rd Belen NM 87002-9200 |
| Practice Telephone | 5052558682 |
| Practice Fax Number | 5052557890 |
| Mailing Telephone | 5057646409 |
| Mailing Fax Number | 5057646455 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2009-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
I-04603 | NM | Behavioral Health & Social Service Providers |
| Street Address |
2741 INDIAN SCHOOL RD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106-2653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043207285 | David N Ewing Md PC | Psychiatry & Neurology | 2741 Indian School Rd Ne, Albuquerque, NM 87106-2653 | 2005-10-03 |
| 1760016125 | Nancy J Henderson | Counselor | 2741 Indian School Rd Ne, Albuquerque, NM 87106-2653 | 2020-02-25 |
| 1023527991 | New Mexico Neuromuscular Center | Clinic/Center | 2741 Indian School Rd Ne, Albuquerque, NM 87106 | 2017-09-23 |
| 1447630553 | Alice Rose Keck | Social Worker | 2741 Indian School Rd Ne, Albuquerque, NM 87106-2653 | 2015-06-03 |
| 1174915441 | Andrea Paula Newman | Marriage & Family Therapist | 2741 Indian School Rd Ne, Albuquerque, NM 87106-2653 | 2015-02-24 |
| 1790113249 | Charulata Nadig | Psychologist | 2741 Indian School Rd Ne, Ste 106, Albuquerque, NM 87106-2653 | 2013-10-18 |
| 1639504442 | Rowen O'neill | Counselor | 2741 Indian School Rd Ne, Albuquerque, NM 87106-2653 | 2013-09-11 |
| 1598999898 | Center for Creative Studies Inc. | Counselor | 2741 Indian School Rd Ne, Albuquerque, NM 87106-2653 | 2009-05-14 |
| 1194976050 | Josie Gibb | Psychologist | 2741 Indian School Rd Ne, Albuquerque, NM 87106-2653 | 2008-10-08 |
| 1689824112 | Deborah Bergeron | Counselor | 2741 Indian School Rd Ne, Albuquerque, NM 87106-2653 | 2008-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679808 | Jorge Licano | Student in an Organized Health Care Education/Training Program | Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-04 |
| 1730780032 | Joseph Sanchez | Student in an Organized Health Care Education/Training Program | (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-03 |
| 1336746205 | Evan Laub | Pharmacist | 2950 Central Ave. Sw, Albuquerque, NM 87106 | 2020-10-05 |
| 1487203154 | Theresa Martinez | Technician | 5680 Avedon Dr. Se, Albuquerque, NM 87106 | 2019-09-05 |
| 1205300647 | Louis Mayer II | Specialist/Technologist | 1414 University Blvd Tow Diehm Athletic Facility, Albuquerque, NM 87106 | 2019-01-18 |
| 1235633355 | Terrena Grace Vigil Brady | Occupational Therapist | 1001 Yale Blvd, Albuquerque, NM 87106 | 2018-03-22 |
| 1205355195 | Yaritza Ruiz | Specialist/Technologist | 1200 Avenida Cesar Chavez, 231d, Albuquerque, NM 87106 | 2017-09-12 |
| 1457873382 | Cynthia Bluhm | Registered Nurse | 7600 Cedar St Se Ste 7600, Albuquerque, NM 87106 | 2017-07-12 |
| 1295265882 | Hallie Chancellor | Behavior Technician | 1801 Gibson Blvd Se Apt 1046, Albuquerque, NM 87106 | 2017-06-15 |
| 1780111757 | Jiana Hook | Physical Medicine & Rehabilitation | 1414 University Blvd. Se, Albuquerque, NM 87106 | 2017-05-22 |
| Find all providers in zip 87106 | ||||
| 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 |
|---|---|---|---|---|
| 1649870346 | Erin Lilly Lcsw LLC | Social Worker | 3321b Candelaria Rd Ne Ste 406, Albuquerque, NM 87107-1908 | 2020-10-30 |
| 1659971919 | Erica Denise Ortiz | Social Worker | 6212 Casa Blanca Dr Nw, Albuquerque, NM 87120 | 2020-10-27 |
| 1316545478 | Amy Flinko | Social Worker | 3604 Britt St Ne, Albuquerque, NM 87111-4983 | 2020-10-12 |
| 1558976597 | Skt Counseling LLC | Social Worker | 4620 Hannett Ave Ne, Albuquerque, NM 87110-5014 | 2020-09-15 |
| 1881209948 | Carolyn Marie Peck | Social Worker | 231 Carlisle Blvd Ne, Albuquerque, NM 87106-1348 | 2020-09-14 |
| 1619587839 | Aureaariel Cardiel | Social Worker | 116 Industrial Ave Ne, Albuquerque, NM 87107-2229 | 2020-08-03 |
| 1376153593 | Janette Dejesus | Social Worker | 116 Industrial Ave Ne Ste B, Albuquerque, NM 87107-2229 | 2020-08-03 |
| 1235748096 | Gabrielle Monique Maldonado | Social Worker | 2535 Mervosh Ave Sw, Albuquerque, NM 87105-4821 | 2020-07-28 |
| 1770191033 | Rosemary Laurel Bauman | Social Worker | 1515 Los Jardines Pl Nw, Albuquerque, NM 87104-2317 | 2020-07-22 |
| 1164047841 | Jonathan Wilks, Lcsw, LLC | Social Worker | 4300 Woodrose Rd Nw, Albuquerque, NM 87114-5578 | 2020-06-09 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87106 |
Please comment or provide details below to improve the information on MS. ELLEN TERESA COSTILLA.
| 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.