MRS. JENNIFER BETH COSTELLO (LICSW) – Clinical Social Worker, NPI 1205091832

MRS. JENNIFER BETH COSTELLO (LICSW) is a healthcare provider. based in Upton, Massachusetts. specializing in Clinical Social Worker. They hold the professional credentials LICSW. They hold a License No. 116826 (MA). The NPI Number for MRS. JENNIFER BETH COSTELLO (LICSW) is 1205091832

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JENNIFER BETH COSTELLO (LICSW)
NPI
1205091832
Phone
(774) 219-3941
Address
11 GLENVIEW ST
Enumeration Date
23 July 2008
Last Update Date
9 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5088220006
Graduation Year
2008 (18 years ago)
PAC ID
3577707918
Group Practice PAC ID
0143329631
Professional Enrollment ID
I20130925000117
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for MRS. JENNIFER BETH COSTELLO (LICSW)

  • 11, Glenview Street, Upton, Worcester County, Massachusetts, 01568, United States

    UPTON, MA 015681336

    Phone: (774) 219-3941

    Type: Location

  • 1 Taunton Grn

    Taunton, MA 027803225

    Phone: (508) 822-4027

    Type: Location

  • 7 Dean St

    Taunton, MA 027802725

    Phone: (508) 822-0006

    Fax: (508) 880-8627

    Type: Location

  • 288 West St Ste 3B

    Milford, MA 017571234

    Phone: (774) 219-3941

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01568)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143329631View full group profile
NameSpecialtyState
Mental Health CounselorMA
Mental Health CounselorMA
Mental Health CounselorMA
Clinical Social WorkerMA
Mental Health CounselorMA
Clinical PsychologistMA
-MA
Clinical Social WorkerMA

Reviews

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Frequently asked questions

What number should I use to identify MRS. JENNIFER BETH COSTELLO (LICSW) for billing?
Administrative and clinical systems typically use NPI 1205091832 for MRS. JENNIFER BETH COSTELLO (LICSW).
Is MRS. JENNIFER BETH COSTELLO (LICSW) currently accepting referrals based on NPI status?
Registry metadata lists MRS. JENNIFER BETH COSTELLO (LICSW) as active.
How should patients interpret MRS. JENNIFER BETH COSTELLO (LICSW)'s specialty?
The extract shows Clinical Social Worker for MRS. JENNIFER BETH COSTELLO (LICSW). Clinical services aligned with this taxonomy classification.
What geographic area is tied to MRS. JENNIFER BETH COSTELLO (LICSW)?
MRS. JENNIFER BETH COSTELLO (LICSW) is associated with Upton, Massachusetts in the same public data insurers reference.
Why is information missing for MRS. JENNIFER BETH COSTELLO (LICSW)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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