Laura Marie Costello, LCSW | |
223 W Broad St, Hazleton, PA 18201-6201 | |
(570) 455-9902 | |
Not Available |
Full Name | Laura Marie Costello |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 223 W Broad St, Hazleton, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871291849 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CW022662 (Pennsylvania) | Primary |
Entity Name | Total Life Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053909267 PECOS PAC ID: 8123433034 Enrollment ID: O20240209003233 |
Mailing Address | Practice Location Address |
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Laura Marie Costello, LCSW 223 W Broad St, Hazleton, PA 18201-6201 Ph: (570) 455-9902 | Laura Marie Costello, LCSW 223 W Broad St, Hazleton, PA 18201-6201 Ph: (570) 455-9902 |
Sandra Esperanza Delgado, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 W Chapel St, Hazleton, PA 18201 Phone: 570-455-1521 | |
Maurissa Laudeman, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 223 W Broad St, Hazleton, PA 18201 Phone: 570-455-9902 | |
Rhonda Gail Mason, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 223 W Broad St, Hazleton, PA 18201 Phone: 570-455-9902 | |
Mr. Dominic Anthony Morollo, ACSW LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 20 W 1st St, Hazleton, PA 18201 Phone: 570-401-5979 | |
Miss Mara Mclaughlin-gombeda, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 223 W Broad St, Hazleton, PA 18201 Phone: 570-455-9902 Fax: 570-455-9452 | |
Miss Lia Marie Ciotola, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 W Broad Street, Suite 412 413, Hazleton, PA 18201 Phone: 570-454-0334 Fax: 570-454-2534 | |
Mr. Wayne C Funk, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 545 Kiefer Ave, Hazleton, PA 18201 Phone: 570-459-5615 |