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MICHELLE A COSTELLO LCSW, PLLC
NPI 1871256453
Clinic/Center - Mental Health (Including Community Mental Health Center) in Chicago, IL

Active since October 20, 2021
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.

About Michelle A Costello Lcsw, Pllc NPPES

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

MICHELLE A COSTELLO LCSW, PLLC (NPI 1871256453) is a healthcare organization registered as a mental health (including community mental health center) in Chicago, Illinois and active in the NPI registry since October 2021. The organization lists Michelle Alyse Costello, Registered Agent, as its authorized official.

NPPES Registry Identity

NPI1871256453
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMICHELLE A COSTELLO LCSW, PLLC
Location Address5215 N RAVENSWOOD AVE STE 214Chicago, IL 60640-1670
Mailing Address615 Hinman Ave Apt 3dEvanston, IL 60202-3047 · (312) 593-3553
Phone(312) 476-9722
Organization SubpartNo
Authorized OfficialMichelle Alyse CostelloRegistered Agent · (312) 593-3553
Enumeration DateOctober 20, 2021
Last NPPES UpdateOctober 22, 2021
NPPES CertifiedOctober 22, 2021
✔ NPI 1871256453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
5215 N RAVENSWOOD AVE STE 214, Chicago, IL 60640
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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.

CHRISTIANNA WEISS LCSW
Social Worker (Clinical)
5215 N RAVENSWOOD AVE STE 214
CHICAGO, IL 60640
Cook County (314) 517-8993
MICHELLE ALYSE COSTELLO LCSW
Social Worker (Clinical)
5215 N RAVENSWOOD AVE STE 214
CHICAGO, IL 60640
Cook County (312) 476-9722
MANDALA RESTORATIVE THERAPY
Clinic/Center (Mental Health (Including Community Mental Health Center))
5215 N RAVENSWOOD AVE STE 214
CHICAGO, IL 60640
Cook County (602) 821-7850
DR. LAURA FRAINT PSY.D
Psychologist (Clinical)
5215 N RAVENSWOOD AVE STE 214
CHICAGO, IL 60640
Cook County (312) 460-3858
MS. ELIZABETH STOLTENBERG MS, MSW, LCSW
Social Worker (Clinical)
5215 N RAVENSWOOD AVE STE 214
CHICAGO, IL 60640
Cook County (773) 888-2158
TESSA MARIE MANDALA M.ED., LCPC
Counselor (Professional)
5215 N RAVENSWOOD AVE STE 214
CHICAGO, IL 60640
Cook County (602) 821-7850

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 A Costello Lcsw, PLLC's NPI number?

The NPI number for Michelle A Costello Lcsw, PLLC is 1871256453. It was assigned to this organization in the NPPES registry on October 20, 2021.

Where is Michelle A Costello Lcsw, PLLC located?

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

What is Michelle A Costello Lcsw, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Michelle A Costello Lcsw, PLLC 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.