Christine Costa, LCSW
Social Worker, Clinical in Tinton Falls, NJ. Individual provider (NPI-1).
NPI number1699298240
StatusActive
Last updated in NPPESOct 14, 2020
Details
- NPI
- 1699298240
- Entity type
- Individual (NPI-1)
- Name
- Miss Christine Costa
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 25, 2017
- Certification date
- Oct 14, 2020
- Last updated
- Oct 14, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 44SC05462400 | NJ | Yes |
Practice location
3000 Essex RdTinton Falls, NJ 07753-2400
Phone 732-643-2070 · Fax 732-643-2015
Mailing address
5525 Research Park Dr Fl 4Baltimore, MD 21228-4873
Phone 732-643-2070 · Fax 732-643-2015
Other practice locations
535 Mountain Ave
New Providence, NJ 07974-2002
New Providence, NJ 07974-2002
Phone 908-516-9245 · Fax 908-516-9265
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