NPI 1013408988

Kathleen M Costello, LICSW

Practitioner Clinical Social Worker Saint Albans, VT

Practice location

Address: 12 Fairfield Hill Rd, Saint Albans, VT 05478-9634
Phone: (802) 524-1700
Fax: (802) 524-1777
Mailing address: 30 Airport Rd, S Burlington, VT 05403-6432

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 089.0000941 (VT)

Other Social Worker providers in Vermont →

Registry record

NPI: 1013408988
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 May 2018
Record last updated: 25 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.