Alycia Covelly, LGSW

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

23892 Issued in MD

Practice address

2415 Willoughby Beach Rd
Edgewood, MD 21040

Phone

(410) 612-2071

NPI assigned

Jun 29, 2018

Last updated

Nov 1, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1275028458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 WILLOUGHBY BEACH RD",
            "city": "EDGEWOOD",
            "state": "MD",
            "postal_code": "210403414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 WILLOUGHBY BEACH RD",
            "city": "EDGEWOOD",
            "state": "MD",
            "postal_code": "21040",
            "telephone_number": "410-612-2071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1308 Business Center Way Ste 102",
            "address_purpose": "LOCATION",
            "city": "Edgewood",
            "state": "MD",
            "postal_code": "210401504",
            "country_code": "US",
            "telephone_number": "443-440-5780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COVELLY",
        "first_name": "ALYCIA",
        "credential": "LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-29",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "23892",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MD",
            "license": "23892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• School Social Worker in Edgewood, MD
• Providers in Edgewood, MD by specialty
• School Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; 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.