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

Mr. Jordan Daniel Costello

Individual provider Clinical Social Worker · NPI 1942085238

Mr. Jordan Daniel Costello is a Clinical Social Worker in Maryville, Tennessee. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

1704 E Broadway Ave
Maryville, TN 37804-2916
Phone: (865) 681-6990
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1942085238
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 28, 2023
Last updated in NPPESMay 15, 2024
Certification dateMay 15, 2024
Mailing address200 Tech Center Dr, Knoxville, TN 37912-2747

Other providers in Maryville