Kelly Costello, LCSW-C is a
Counselor - Mental Health based in Jarrettsville, Maryland. Kelly Costello is licensed to practice in Maryland (license number 15818) and her current practice location is
1714 Jarrettsville Rd, Jarrettsville, Maryland. She can be reached at her office (for appointments etc.) via phone at
(443) 695-3692.
NPI number for Kelly Costello is 1497159412 and her current mailing address is 1405 Howard Rd, Annapolis, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497159412.
Healthcare Provider's Profile
Full Name | Kelly Costello |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 1714 Jarrettsville Rd, Jarrettsville, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1497159412
- Provider Enumeration Date: 10/20/2014
- Last Update Date: 10/20/2014
Medical Identifiers
Medical identifiers for Kelly Costello such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497159412 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 15818 (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Costello is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kelly Costello, LCSW-C 1405 Howard Rd, Annapolis, MD 21403-4720 Ph: (443) 695-3692 | Kelly Costello, LCSW-C 1714 Jarrettsville Rd, Jarrettsville, MD 21084-1524 Ph: (443) 695-3692 |
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