Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Anthony M Costagliola, LICSW

Individual provider Clinical Social Worker · NPI 1295382737

Mr. Anthony M Costagliola, LICSW is a Clinical Social Worker in Providence, Rhode Island. Qualified in 2015, 11 years ago. Practices with Gateway Healthcare Inc, a 64-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
11
Licensed in
RI
In the registry since
2019
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

1 Richmond Sq Ste 333W
Providence, RI 02906-5156
Phone: (401) 227-0372
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence ISW02830 (RI)

Record details

NPI number1295382737
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedAugust 20, 2019
Last updated in NPPESAugust 20, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Gateway Healthcare Inc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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