SUZANNE COSTALLOS LCSW
NPI 1134344724
Social Worker - Clinical in Ellsworth, ME

Active since April 17, 2007
710 BUCKSPORT RD, ELLSWORTH, ME 04605(207) 667-6890(207) 667-6457 Get Directions Write a Review

NPPES record last updated: August 13, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Suzanne Costallos Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUZANNE COSTALLOS LCSW (NPI 1134344724) is an individual clinical provider in Ellsworth, Maine, licensed in Maine (LC10650) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1134344724
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSUZANNE COSTALLOSCredential: LCSW
Location Address710 BUCKSPORT RDEllsworth, ME 04605-2722
Mailing Address710 Bucksport RdEllsworth, ME 04605-2722 · (207) 667-6890 · Fax (207) 667-6457
Fax(207) 667-6457
Sole ProprietorNo
Enumeration DateApril 17, 2007
Last NPPES UpdateAugust 13, 2013
NPI 1134344724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in ME · LC10650
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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
710 BUCKSPORT RD, Ellsworth, ME 04605

Other Identifiers 1

Medicaid431803199ME

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
710 BUCKSPORT RD
ELLSWORTH, ME 04605
Social Worker (Clinical)
710 BUCKSPORT RD
ELLSWORTH, ME 04605
Clinic/Center
710 BUCKSPORT RD
ELLSWORTH, ME 04605
Counselor (Mental Health)
710 BUCKSPORT RD
ELLSWORTH, ME 04605
Nurse Practitioner (Psychiatric/Mental Health)
710 BUCKSPORT RD
ELLSWORTH, ME 04605
Counselor (Mental Health)
710 BUCKSPORT RD
ELLSWORTH, ME 04605
Counselor (Mental Health)
710 BUCKSPORT RD
ELLSWORTH, ME 04605
Counselor
710 BUCKSPORT RD
ELLSWORTH, ME 04605

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Suzanne Costallos's NPI number?

The NPI number for Suzanne Costallos is 1134344724. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Where is Suzanne Costallos located?

Suzanne Costallos practices at 710 Bucksport Rd, Ellsworth, ME 04605. The listed phone number is (207) 667-6890.

What is Suzanne Costallos's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Suzanne Costallos was last updated on August 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.