Patrick Costello is a Clinical in Boise, Idaho. Patrick Costello practices all healthcare services and medical treatments related to Clinical. The NPI Number for Patrick Costello is 1699788992. The last update date is 2011-04-08.
Patrick Costello's current location address is 9911 Arabian Dr, Boise, Idaho. You can contact this provider via phone number 2088706460 and fax number 2083951948. The mailing address for Patrick Costello is 9911 Arabian Dr, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Name | Patrick Costello |
---|---|
Address | 9911 Arabian Dr, Boise, Idaho |
Phone Number | 2088706460 |
Fax Number | 2083951948 |
Sole Proprietor | Y |
Credentials | MSW,LCSW |
NPI Number Detail
NPI Number | 1699788992 |
---|---|
Provider Enumeration Date | 2006-08-15 |
Last Updated Date | 2011-04-08 |
Provider Mailing Address Detail
Address | 9911 Arabian Dr |
---|---|
City | Boise |
State | Idaho (ID) |
Post Code | 83709 |
Phone Number | 2088706460 |
Fax Number | 2083951948 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
---|---|
Taxonomy | 1041C0700X |
Licence No | LCSW474 |
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Patrick Costello by the Centers for Medicare & Medicaid Services?
The Patrick Costello has been issued the NPI (National Provider Identifier) 1699788992, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Patrick Costello is physically located?
The Patrick Costello is situated at the following address: 9911 Arabian Dr, Boise, ID 83709.
What is the area of specialization for Patrick Costello, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Patrick Costello is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did Patrick Costello receive its 1699788992 assignment from the Centers for Medicare & Medicaid Services?
The Patrick Costello was assigned its 1699788992 on 2006-08-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Patrick Costello's details last updated?
The information pertaining to the Patrick Costello, including its address, specialty, and other details, was most recently updated on 2011-04-08.
NPI Number: 1245233451
Address: 262 Danny Thomas Place., Ms 0515, Memphis, TN
NPI Number: 1750384947
Address: Ou Medical Center-750 Ne 13th, Oklahoma City, OK