MICHELLE ALYSE COSTELLO LCSW
NPI 1275007767
Social Worker - Clinical in Chicago, IL

Active since January 17, 2019
5215 N RAVENSWOOD AVE STE 214, CHICAGO, IL 60640(312) 476-9722 Get Directions Write a Review

NPPES record last updated: October 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 22, 2021, Feb 12, 2020, Jan 17, 2019 (3 updates tracked since 2019).

About Michelle Alyse Costello Lcsw NPPES

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

MICHELLE ALYSE COSTELLO LCSW (NPI 1275007767) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149.020672) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1275007767
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMICHELLE ALYSE COSTELLOCredential: LCSW
Location Address5215 N RAVENSWOOD AVE STE 214Chicago, IL 60640-1670
Mailing Address615 Hinman Ave Apt 3dEvanston, IL 60202-3047 · (312) 593-3553
Sole ProprietorYes
Enumeration DateJanuary 17, 2019
Last NPPES UpdateOctober 22, 20213 updates tracked since enumeration
NPPES CertifiedOctober 22, 2021
NPI 1275007767 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 IL · 149.020672
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.
5215 N RAVENSWOOD AVE STE 214, Chicago, IL 60640

Other Providers at the Same Location NPPES 6

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

Social Worker (Clinical)
5215 N RAVENSWOOD AVE STE 214
CHICAGO, IL 60640
Clinic/Center (Mental Health (Including Community Mental Health Center))
5215 N RAVENSWOOD AVE STE 214
CHICAGO, IL 60640
Psychologist (Clinical)
5215 N RAVENSWOOD AVE STE 214
CHICAGO, IL 60640
Social Worker (Clinical)
5215 N RAVENSWOOD AVE STE 214
CHICAGO, IL 60640
Clinic/Center (Mental Health (Including Community Mental Health Center))
5215 N RAVENSWOOD AVE STE 214
CHICAGO, IL 60640
Counselor (Professional)
5215 N RAVENSWOOD AVE STE 214
CHICAGO, IL 60640

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 Michelle Costello's NPI number?

The NPI number for Michelle Costello is 1275007767. It was assigned to this individual provider in the NPPES registry on January 17, 2019.

Where is Michelle Costello located?

Michelle Costello practices at 5215 N Ravenswood Ave Ste 214, Chicago, IL 60640. The listed phone number is (312) 476-9722.

What is Michelle Costello'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 Michelle Costello was last updated on October 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.