Individual
PETER COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
2 WALL ST, MANCHESTER, NH 03101-1518
(603) 668-4111
(603) 628-7757
Mailing address
2 WALL ST STE 200, MANCHESTER, NH 03101-1518
(603) 668-4111
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1165
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020258994-25
HARVARD PILGRIM
NH
01
—
2067742
CIGNA
NH
01
—
7706660Y0NH01
BLUE CROSS
NH
Enumeration date
09/16/2006
Last updated
07/07/2025
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