DOROTHY COSTAKIS LICDC LISW-S NPI 1609381060

NPI Information

  • NPI: 1609381060
  • Provider Name: DOROTHY COSTAKIS, LICDC, LISW-S
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 3720 ROCKY RIVER DR
    CLEVELAND, OH
    ZIP 44111
  • Phone: (216) 954-0444

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NPI Details

Dorothy Costakis, LICDC, LISW-S is a mental health counselor in Cleveland, OH. Dorothy Costakis, LICDC, LISW-S 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 5/5/2025.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)LICDC.161501OHIONo
2101YM0800XCounselorMental HealthI.2405225-SUPVOHIOYes

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: 11/21/2025

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