KELLY E COSTELLO (LCSW) – Mental Health Counselor, NPI 1639389448

KELLY E COSTELLO (LCSW) is a healthcare provider. based in Tewksbury, Massachusetts. specializing in Mental Health Counselor. They hold the professional credentials LCSW. They hold a License No. 1121562 (MA). The NPI Number for KELLY E COSTELLO (LCSW) is 1639389448

Main info

Female
Sole Proprietor
Name
KELLY E COSTELLO (LCSW)
NPI
1639389448
Phone
(978) 735-5361
Address
5 SULLIVAN PKWY
Enumeration Date
23 May 2007
Last Update Date
25 October 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for KELLY E COSTELLO (LCSW)

  • 5 SULLIVAN PKWY

    TEWKSBURY, MA 018763929

    Phone: (978) 735-5361

    Type: Mailing

  • 204 ANDOVER ST STE 403

    ANDOVER, MA 018105702

    Phone: (978) 409-0179

    Type: Location

  • 95, Pleasant Street, Lynn, Essex County, Massachusetts, 01903, United States

    LYNN, MA 019011524

    Phone: (781) 596-9222

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 01876)

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Reviews

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Frequently asked questions

Does KELLY E COSTELLO (LCSW) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KELLY E COSTELLO (LCSW) uses 1639389448.
Is KELLY E COSTELLO (LCSW) listed as active for patients and plans?
The listing shows KELLY E COSTELLO (LCSW) as active in the NPI system.
What taxonomy line describes KELLY E COSTELLO (LCSW)?
For research purposes, treat KELLY E COSTELLO (LCSW) as Mental Health Counselor in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for KELLY E COSTELLO (LCSW)?
KELLY E COSTELLO (LCSW)'s geographic hint is Tewksbury, Massachusetts in our summary view.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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