Ellen Teresa Costilla (NPI# 1871538017, PAC ID# 8022904911) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1871538017 |
| PAC ID by PECOS | 8022904911 |
| Professional Enrollment ID | I20040226000711 |
| Full Name | Ellen Teresa Costilla |
| Organization Legal Name | BOSQUE MENTAL HEALTH ASSOCIATES INC |
| Address |
5310 Homestead Rd Ne Suite 300 Albuquerque NM 87110-1524 |
| Phone Number | 5055036838 |
| Gender | F |
| Credential | CSW |
| Graduation Year | 1996 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 7719262492 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5310 Homestead Rd Ne, Suite 300, Albuquerque, NM 87110-1524 | 5055036838 | BOSQUE MENTAL HEALTH ASSOCIATES INC |
| Organization Legal Name | BOSQUE MENTAL HEALTH ASSOCIATES INC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joan Lynne Levine | Clinical Social Worker | Bosque Mental Health Associates Inc | 5310 Homestead Rd Ne, Suite 300, Albuquerque, NM 87110-1524 |
| Roxroy Reid | Clinical Social Worker | Bosque Mental Health Associates Inc | 5310 Homestead Rd Ne, Suite 300, Albuquerque, NM 87110-1524 |
| Diane D Harmon | Clinical Social Worker | Bosque Mental Health Associates Inc | 5310 Homestead Rd Ne, Suite 300, Albuquerque, NM 87110-1524 |
| Shara Kranz | Clinical Social Worker | Bosque Mental Health Associates Inc | 5310 Homestead Rd Ne, Suite 300, Albuquerque, NM 87110-1524 |
| Cathy Schueler | Clinical Social Worker | Bosque Mental Health Associates Inc | 5310 Homestead Rd Ne, Suite 300, Albuquerque, NM 87110-1524 |
| Street Address |
5310 HOMESTEAD RD NE SUITE 300 |
| City | ALBUQUERQUE |
| State | NM |
| Zip | 87110-1524 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pamela J Daffern | Allergy/immunology | Advanced Allergy Associates of New Mexico Inc | 5310 Homestead Rd Ne, Suite 201, Albuquerque, NM 87110-1524 |
| Joan Lynne Levine | Clinical Social Worker | Bosque Mental Health Associates Inc | 5310 Homestead Rd Ne, Suite 300, Albuquerque, NM 87110-1524 |
| Brian L Costello | Physician Assistant | Albuquerque Dermatology Associates, Pa | 5310 Homestead Rd Ne, Suite 301, Albuquerque, NM 87110-1437 |
| Roxroy Reid | Clinical Social Worker | Bosque Mental Health Associates Inc | 5310 Homestead Rd Ne, Suite 300, Albuquerque, NM 87110-1524 |
| Sky B Connolly | Dermatology | Albuquerque Dermatology Associates, Pa | 5310 Homestead Rd Ne, Suite 301, Albuquerque, NM 87110-1437 |
| Aaron B Kaufman | Family Medicine | Southwest Integrative Health Center, LLC | 5310 Homestead Rd Ne, Building 400, Albuquerque, NM 87110-1437 |
| Porfinio J Romero Jr. | Nurse Practitioner | Advanced Allergy Associates of New Mexico Inc | 5310 Homestead Rd Ne, Suite 201, Albuquerque, NM 87110-1524 |
| Morgana L Jokiel | Nurse Practitioner | Southwest Integrative Health Center, LLC | 5310 Homestead Rd Ne, Building 400, Albuquerque, NM 87110-1437 |
| Cassandra M Otero | Nurse Practitioner | Southwest Integrative Health Center, LLC | 5310 Homestead Rd Ne, Building 400, Albuquerque, NM 87110-1437 |
| Teresa L Jenkins-mccord | Nurse Practitioner | Advanced Allergy Associates of New Mexico Inc | 5310 Homestead Rd Ne, Suite 201, Albuquerque, NM 87110-1524 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maureen Polikoff | Clinical Social Worker | 2201 San Pedro Ne, Albuquerque, NM 87110 | |
| Maureen E Owens | Nurse Practitioner | Minuteclinic Diagnostic of New Mexico, LLC | 4340 San Mateo Blvd Ne, Albuquerque, NM 87110-1234 |
| Susan G Blair-buckley | Physician Assistant | Minuteclinic Diagnostic of New Mexico, LLC | 4340 San Mateo Blvd Ne, Albuquerque, NM 87110-1234 |
| Heather A Armes | Physician Assistant | Minuteclinic Diagnostic of New Mexico, LLC | 4340 San Mateo Blvd Ne, Albuquerque, NM 87110-1234 |
| Curtis M Quintana | Physician Assistant | Minuteclinic Diagnostic of New Mexico, LLC | 4340 San Mateo Blvd Ne, Albuquerque, NM 87110-1234 |
| Ana G Huaman | Ophthalmology | 3901 Georgia St Ne, Suite G 2, Albuquerque, NM 87110-1359 | |
| Julie D Krawchuck | Nurse Practitioner | 3901 Georgia St Ne, Suite B1, Albuquerque, NM 87110-1390 | |
| Mitchell R Silverstein | Clinical Social Worker | 3901 Georgia St Ne, 2 Family Choices Counseling Center, Albuquerque, NM 87110-1390 | |
| Robert L Jarrell Jr | Optometry | Robert L Jarrell, Od, Pa | 3901 Georgia Nest, Albuquerque, NM 87110-1391 |
| Emerson S Corley | Clinical Social Worker | The Enhancement Center, P.C. | 3901 Georgia St Ne, Suite A4, Albuquerque, NM 87110-1391 |
| Find all physicians in zip 87110 | |||
| City | ALBUQUERQUE |
| Zip Code | 87110 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | ALBUQUERQUE + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Ellen Teresa Costilla.
| 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.