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KELLY E COSTELLO LCSW
NPI 1639389448
Social Worker - Clinical in Andover, MA

Active since May 23, 2007
204 ANDOVER ST STE 403, ANDOVER, MA 01810(978) 409-0179 Get Directions Write a Review

NPPES record last updated: October 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly E Costello Lcsw NPPES

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

KELLY E COSTELLO LCSW (NPI 1639389448) is an individual clinical provider in Andover, Massachusetts, licensed in Massachusetts (1121562) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1639389448
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY E COSTELLOCredential: LCSW
Location Address204 ANDOVER ST STE 403Andover, MA 01810-5702
Mailing Address5 Sullivan PkwyTewksbury, MA 01876-3929 · (978) 735-5361
Phone(978) 409-0179
Sole ProprietorYes
Enumeration DateMay 23, 2007
Last NPPES UpdateOctober 25, 2025
NPPES CertifiedOctober 25, 2025
✔ NPI 1639389448 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 MA · 1121562
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.
204 ANDOVER ST STE 403, Andover, MA 01810
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Other Providers at the Same Location NPPES 11

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

BRITTNEY R SIX LMHC
Counselor (Mental Health)
204 ANDOVER ST STE 403
ANDOVER, MA 01810
Essex County (978) 998-5694
TIFFANY RAE NOONAN LICSW, MSW
Social Worker (Clinical)
204 ANDOVER ST STE 403
ANDOVER, MA 01810
Essex County (978) 272-9960
JACLYN B. DEVINE PSYD PLLC
Psychologist (Clinical)
204 ANDOVER ST STE 403
ANDOVER, MA 01810
Essex County (718) 607-9081
WENDY LIN SANDLER PSY.D.
Psychologist (Clinical)
204 ANDOVER ST STE 403
ANDOVER, MA 01810
Essex County (978) 880-5606
ELYCIA PITTSLEY LICSW
Social Worker (Clinical)
204 ANDOVER ST STE 403
ANDOVER, MA 01810
Essex County (978) 960-9568
JILL GLEASON SERGEANT L.I.C.S.W.
Social Worker (Clinical)
204 ANDOVER ST STE 403
ANDOVER, MA 01810
Essex County (978) 482-6841
CARMEN PEPICELLI PLLC
Counselor (Mental Health)
204 ANDOVER ST STE 403
ANDOVER, MA 01810
Essex County (978) 237-4730
MRS. LISA M MARTELLI LICSW
Social Worker (Clinical)
204 ANDOVER ST STE 403
ANDOVER, MA 01810
Essex County (978) 482-7012

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 Kelly Costello's NPI number?

The NPI number for Kelly Costello is 1639389448. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Kelly Costello located?

Kelly Costello practices at 204 Andover St Ste 403, Andover, MA 01810. The listed phone number is (978) 409-0179.

What is Kelly 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 Kelly Costello was last updated on October 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.