Individual
MS. ESTELLE C D'COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
10 FAIRMOUNT AVE, CHATHAM, NJ 07928-2343
(908) 696-8487
(206) 203-2168
Mailing address
98 SPRING HOLLOW RD, FAR HILLS, NJ 07931-2401
(908) 696-8487
(206) 203-2168
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC00362100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007800150
AETNA BEHAVIORAL HEALTH
—
01
—
238856
MANAGED HEALTH NETWORK
—
01
—
NJ44SC00362100
LICENSED CLINICAL SW
NJ
01
—
P2008179
OXFORD INSURANCE
—
Enumeration date
02/15/2007
Last updated
07/08/2007
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