Shannon R Costello (NPI# 1932131620, PAC ID# 5799880290) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1932131620 |
| PAC ID by PECOS | 5799880290 |
| Professional Enrollment ID | I20070605000128 |
| Full Name | Shannon R Costello |
| Organization Legal Name | NORTHEAST HEALTH SERVICES LLC |
| Address |
39 A Industrial Park Rd Plymouth MA 02360-4868 |
| Phone Number | 5088301444 |
| Gender | F |
| Graduation Year | 2002 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 6901866706 |
| Number of Group Practice Members | 74 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 39 A Industrial Park Rd, Plymouth, MA 02360-4868 | 5088301444 | NORTHEAST HEALTH SERVICES LLC |
| Organization Legal Name | NORTHEAST HEALTH SERVICES LLC |
| Physicians | 74 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gold Okoeka | Nurse Practitioner | Northeast Health Services LLC | 126 Cove St, Fall River, MA 02720-1306 |
| Amanda R Potter | Clinical Social Worker | Northeast Health Services LLC | 8 N Main St, 5th, Attleboro, MA 02703-2282 |
| Gregory P Scheuy | Clinical Social Worker | Northeast Health Services LLC | 20 Winter St, Pembroke, MA 02359-4965 |
| Lawrence Mutty | Clinical Social Worker | Northeast Health Services LLC | 113 Tremont St, Duxbury, MA 02332-4753 |
| Omayra Hunt | Clinical Social Worker | Northeast Health Services LLC | 30 Taunton Grn, Suite 5, Taunton, MA 02780-3243 |
| Julie A Catineau | Nurse Practitioner | Northeast Health Services LLC | 39 A Industrial Park Rd, Plymouth, MA 02360-4868 |
| Wallace W Varonko | Psychologist, Clinical | Northeast Health Services LLC | 94 S Main St, Middleboro, MA 02346-2123 |
| Elizabeth Mauro | Clinical Social Worker | Northeast Health Services LLC | 134 Ansel Hallet Rd, Suite 3, West Yarmouth, MA 02673-2582 |
| Doris Kapp | Clinical Social Worker | Northeast Health Services LLC | 310 Barnstable Rd, Suite 201, Hyannis, MA 02601-2902 |
| Larisa Belisle | Certified Clinical Nurse Specialist (cns) | Northeast Health Services LLC | 94 S Main St, Middleboro, MA 02346-2123 |
| Street Address |
39 A INDUSTRIAL PARK RD |
| City | PLYMOUTH |
| State | MA |
| Zip | 02360-4868 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie A Catineau | Nurse Practitioner | Northeast Health Services LLC | 39 A Industrial Park Rd, Plymouth, MA 02360-4868 |
| Kathleen Cowie | Clinical Social Worker | Northeast Health Services LLC | 39 A Industrial Park Rd, Plymouth, MA 02360-4868 |
| Rosemarie A Caldarone | Clinical Social Worker | Northeast Health Services LLC | 39 A Industrial Park Rd, Plymouth, MA 02360-4868 |
| Andrea M Conway | Nurse Practitioner | Northeast Health Services LLC | 39 A Industrial Park Rd, Plymouth, MA 02360-4868 |
| Robin Johnson | Clinical Social Worker | Northeast Health Services LLC | 39 A Industrial Park Rd, Plymouth, MA 02360-4868 |
| Rebecca H Odowd | Clinical Social Worker | Northeast Health Services LLC | 39 A Industrial Park Rd, Plymouth, MA 02360-4868 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Ryan | Psychologist, Clinical | Integrated Counseling Centers, Inc. | 64 Industrial Pk Rd, Plymouth, MA 02360 |
| Timothy J Ryan | Clinical Social Worker | Integrated Counseling Centers, Inc. | 64 Industrial Pk Rd, Plymouth, MA 02360 |
| Janet E Petrella | Clinical Social Worker | 8 E Circuit Ave, Plymouth, MA 02360-1151 | |
| Debra J Gunning | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 8 Pilgrim Way, Plymouth, MA 02360-1342 |
| Laurel H Martens | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 8 Pilgrim Way, Plymouth, MA 02360-1342 |
| Kadhiresan Raja Murugappan | Anesthesiology | Jordan Physician Associates Inc. | 275 Sandwich St, Plymouth, MA 02360-2183 |
| Lorenz B Cueni | Cardiovascular Disease (cardiology) | 275 Sandwich St (beth Srael Deaconess, Plymouth, MA 02360-2183 | |
| Mark J Longsjo | Clinical Social Worker | Beth Israel Deaconess Hospital Plymouth Inc | 275 Sandwich St, Plymouth, MA 02360-2183 |
| Irina L Gurevich | Hematology/oncology | Jordan Physician Associates Inc. | 275 Sandwich St, Plymouth, MA 02360-2183 |
| William B Gorsuch | Physician Assistant | Jordan Physician Associates Inc. | 275 Sandwich St, Plymouth, MA 02360-2183 |
| Find all physicians in zip 02360 | |||
| City | PLYMOUTH |
| Zip Code | 02360 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | PLYMOUTH + CLINICAL SOCIAL WORKER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.