Nicole M Costell, is a
Social Worker based in Fort Moore, Georgia. Nicole M Costell is licensed to practice in Florida (license number SW18360) and her current practice location is
6600 Van Aalst Blvd Bldg 9250, Fort Moore, Georgia. She can be reached at her office (for appointments etc.) via phone at
(850) 885-9972.
NPI number for Nicole M Costell is 1982133864 and her current mailing address is 6600 Van Aalst Blvd Bldg 9250, Fort Moore, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1982133864.
Healthcare Provider's Profile
| Full Name | Nicole M Costell |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 6600 Van Aalst Blvd Bldg 9250, Fort Moore, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1982133864
- Provider Enumeration Date: 06/05/2017
- Last Update Date: 02/21/2024
Medical Identifiers
Medical identifiers for Nicole M Costell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982133864 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | ASW77761 (California) | Secondary |
| 104100000X | Social Worker | SW18360 (Florida) | 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. Nicole M Costell 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 |
|---|
Nicole M Costell,
6600 Van Aalst Blvd Bldg 9250,
Fort Moore, GA 31905-2102
Ph: () - | Nicole M Costell,
6600 Van Aalst Blvd Bldg 9250,
Fort Moore, GA 31905-2102
Ph: (850) 885-9972 |
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