# CRISTINA M COSTA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1295138766
- **Gender:** F
- **Credential:** LICSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 120668 | MA | — |
| 1041C0700X | Clinical Social Worker | 220041 | MA | Yes |
| 1041C0700X | Clinical Social Worker | CSW01757 | RI | — |
| 1041S0200X | School Social Worker | 70412 | RI | — |

## Other

- **Enumeration date:** 09/29/2014
- **Last updated:** 01/11/2021