| Mr Jordan Daniel Costello, | |
|
1704 E Broadway Ave, Maryville, TN 37804-2916 | |
| (865) 681-6990 | |
| Not Available |
| Full Name | Mr Jordan Daniel Costello |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 1704 E Broadway Ave, Maryville, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942085238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jordan Daniel Costello, 200 Tech Center Dr, Knoxville, TN 37912-2747 Ph: () - | Mr Jordan Daniel Costello, 1704 E Broadway Ave, Maryville, TN 37804-2916 Ph: (865) 681-6990 |
Morgan Buchhammer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 547 W Lamar Alexander Pkwy, Maryville, TN 37801 Phone: 865-309-5427 | |
Rebecca A Nichols, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 210 Simmons St, Maryville, TN 37801 Phone: 865-970-9800 Fax: 865-983-4518 | |
Shannon W Brown, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 519 W. Lamar Alexander Parkway, Maryville, TN 37801 Phone: 865-309-5427 Fax: 866-318-9025 | |
Yvonne Lynn Robertson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2320 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-981-2300 Fax: 865-981-2302 | |
Deborah Winoker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 451 Bmh Physicians Office Bldg, Maryville, TN 37804 Phone: 865-981-2315 Fax: 865-981-2302 | |
Ms. Wendy Pitts Reeves, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 307 High St, Maryville, TN 37804 Phone: 865-681-2869 Fax: 865-379-2869 | |
Lakshmie L Napagoda, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 331 W Broadway Ave, Maryville, TN 37801 Phone: 865-724-2325 |