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MARY JOANNE COSTELLO LCSW
NPI 1639372204
Social Worker - Clinical in Chicago, IL

Active since June 08, 2007PECOS EnrolledAccepts Medicare Assignment
5317 N CLARK ST FL 2, CHICAGO, IL 60640(773) 506-1401(773) 506-1403 Get Directions Write a Review

NPPES record last updated: December 5, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Joanne Costello Lcsw NPPES

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

MARY JOANNE COSTELLO LCSW (NPI 1639372204) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149-009666) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1639372204
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY JOANNE COSTELLOCredential: LCSW
Location Address5317 N CLARK ST FL 2Chicago, IL 60640
Mailing Address5317 N Clark St Fl 2Chicago, IL 60640-2113 · (773) 506-1401 · Fax (773) 506-1403
Phone(773) 506-1401
Fax(773) 506-1403
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateJune 8, 2007
Last NPPES UpdateDecember 5, 2018
✔ NPI 1639372204 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 · 149-009666
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.
5317 N CLARK ST FL 2, Chicago, IL 60640
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Secondary Practice Location 1

Location 15209 N Clark St, Suite 2AChicago, IL 60640-2101 · Phone (773) 506-1401

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Joanne Costello Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901036698
PECOS Enrollment IDI20140225000507
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60640 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Mary Costello's NPI number?

The NPI number for Mary Costello is 1639372204. It was assigned to this individual provider in the NPPES registry on June 8, 2007.

Where is Mary Costello located?

Mary Costello practices at 5317 N Clark St Fl 2, Chicago, IL 60640. The listed phone number is (773) 506-1401.

What is Mary Costello's specialty?

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

Is Mary Costello enrolled in Medicare?

Yes. Mary Costello is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mary Costello accept?

Health plans from Providence Health Plan list Mary Costello as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Costello was last updated on December 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.