Individual provider Active NPI

Jessica Batsheva Covitz, L.C.S.W.

  • Clinical Social Worker
  • Melrose Park, PA
National Provider Identifier
1134563554
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW017641 Issued in PA
Practice address
24 Latham Park
Melrose Park, PA 19027-3148
Phone
(215) 740-7681
NPI assigned
Apr 29, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW017641 PA Primary

Addresses

Primary practice location

24 Latham Park
Melrose Park, PA 19027-3148

Mailing address

24 Latham Park
Melrose Park, PA 19027-3148
Phone (215) 740-7681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130723000368 PA Practitioner - Clinical Social Worker 6305087008 Practice locations: Elkins Park, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

545 Shoemaker Rd
Elkins Park, PA 19027-2459
Phone (215) 740-7681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1134563554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 LATHAM PARK",
            "city": "MELROSE PARK",
            "state": "PA",
            "postal_code": "190273148",
            "telephone_number": "215-740-7681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 LATHAM PARK",
            "city": "MELROSE PARK",
            "state": "PA",
            "postal_code": "190273148",
            "telephone_number": "215-740-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVITZ",
        "first_name": "JESSICA",
        "middle_name": "BATSHEVA",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose Park, PA

Sources for this page

Verify at the official NPI Registry.