Active NPI
Christine Swartwout Kovach, LCSW
- Clinical Social Worker
- Alameda, CA
National Provider Identifier
1184943904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS20274
- Practice address
- 3215 Encinal Ave
Ste. K
Alameda, CA 94501-4889 - Phone
- (510) 364-3723
- NPI assigned
- May 18, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS20274 | CA | Primary |
Addresses
Primary practice location
3215 Encinal Ave
Ste. K
Alameda, CA 94501-4889
Mailing address
3215 Encinal Ave
Ste. K
Alameda, CA 94501-4889
Phone (510) 364-3723
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 19, 2025 through Jan 19, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS20274 | CA | MD | Clinical Social Worker |
| 20274 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274140800000",
"number": "1184943904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3215 ENCINAL AVE",
"address_2": "STE. K",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945014889",
"telephone_number": "510-364-3723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3215 ENCINAL AVE",
"address_2": "STE. K",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945014889",
"telephone_number": "510-364-3723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOVACH",
"first_name": "CHRISTINE",
"middle_name": "SWARTWOUT",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-18",
"last_updated": "2010-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS20274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alameda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.