Samantha M Kovatch, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9677-123 Issued in WI

Practice address

1300 N Jackson St
Milwaukee, WI 53202-2602

Phone

(414) 467-1548

Fax

(414) 225-1346

NPI assigned

Apr 9, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1083294698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 N 62ND ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532134170",
            "telephone_number": "920-207-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N JACKSON ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022602",
            "telephone_number": "414-467-1548",
            "fax_number": "414-225-1346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVATCH",
        "first_name": "SAMANTHA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "9677-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skovatch@jfsmilw.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1300 N Jackson St",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532022602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jenny Dente Kovach, MD
• Joshua Kovach, MD
• Karlo Kovacic
• Sandor Krisztian Kovacs, M.D.
• Olivia Jean Kovarik, PA-C
• Kathleen Patricia Kovatovic, R.PH.
• Edward H. Kovnar, M.D.
• Brittnee Sue Kowalewski
• Melissa A Kowalske, LCSW
• Andrew J Kowalski, DDS

• Clinical Social Worker in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.