D'Costa, Estelle C

D'Costa, Estelle C is an sole proprietor health care provider with primary practice located at 10 Fairmount Ave , Chatham NJ 07928-2343. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. D'Costa, Estelle C can be contacted via phone (908) 696-8487.

Contact Information

Primary practice address
10 Fairmount Ave Chatham NJ 07928-2343
Phone: (908) 696-8487
Fax: (206) 203-2168
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC00362100 New Jersey

Profile Details

NPI number 1205979606
LBN Legal business name D'Costa, Estelle C
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205979606 NPPES
Other 238856 MANAGED HEALTH NETWORK
Other NJ44SC00362100 MANAGED HEALTH NETWORK
Other 0007800150 MANAGED HEALTH NETWORK
Other P2008179 MANAGED HEALTH NETWORK

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