Whitney Costello
Social Worker in Willoughby, OH. Individual provider (NPI-1).
NPI number1063062594
StatusActive
Last updated in NPPESSep 1, 2022
Details
- NPI
- 1063062594
- Entity type
- Individual (NPI-1)
- Name
- Whitney Costello
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 17, 2019
- Certification date
- Sep 1, 2022
- Last updated
- Sep 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | – | OH | Yes |
Other names
- Whitney Leininger (Former Name)
Practice location
38882 Mentor AveWilloughby, OH 44094-7875
Phone 440-992-8552
Mailing address
38882 Mentor AveWilloughby, OH 44094-7875
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