Elissa Costello, LCSW
Social Worker, Clinical in Meriden, CT. Individual provider (NPI-1).
NPI number1982117776
StatusActive
Last updated in NPPESOct 30, 2018
Details
- NPI
- 1982117776
- Entity type
- Individual (NPI-1)
- Name
- Elissa Costello
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 15, 2017
- Last updated
- Oct 30, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 10010 | CT | Yes |
Other names
- Elissa Pinette (Former Name)
Practice location
134 State StMeriden, CT 06450-3293
Phone 203-237-2229 · Fax 203-686-1677
Mailing address
134 State StMeriden, CT 06450-3293
Phone 203-237-2229 · Fax 203-686-1677
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