DOROTHY COSTAKIS LICDC LSW NPI 1609381060

NPI Information

NPI: 1609381060
Provider Name: DOROTHY COSTAKIS, LICDC, LSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
3720 ROCKY RIVER DR
CLEVELAND, OH
ZIP 44111
Phone: (216) 954-0444
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Dorothy Costakis, LICDC, LSW is a mental health counselor in Cleveland, OH. Dorothy Costakis, LICDC, LSW NPI is 1609381060. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3720 ROCKY RIVER DR
CLEVELAND, OH
ZIP 44111-050
Phone: (216) 954-0444

The enumeration date for this NPI number is 12/7/2017 and was last updated on 6/30/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	S.1700716	OHIO	Yes
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LICDC.161501	OHIO	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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