Costello, Jennifer A

Costello, Jennifer A is an sole proprietor health care provider with primary practice located at 329 Malapardis Rd , Morris Plains NJ 07950-3261. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Costello, Jennifer A can be contacted via phone (201) 213-2385.

Contact Information

Primary practice address
329 Malapardis Rd Morris Plains NJ 07950-3261
Phone: (201) 213-2385
Fax: (973) 843-1600
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05285000 New Jersey

Profile Details

NPI number 1104075746
LBN Legal business name Costello, Jennifer A
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 18th, 2008
Last updated Sep 18th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104075746 NPPES
New Jersey MEDICAID 0169536

Popular Providers