Rivka McGovern, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

080910 Issued in NY

Practice address

7219 N Litchfield Road
56 Medical Group
Luke Afb, AZ 85309-1525

Phone

(623) 856-7579

Fax

(623) 856-4433

NPI assigned

Oct 10, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Rivka Korman, Dotan Former name

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": "1223596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390262400000",
    "number": "1295986008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7219 N LITCHFIELD RD",
            "address_2": "56 MEDICAL GROUP",
            "city": "LUKE AIR FORCE BASE",
            "state": "AZ",
            "postal_code": "853091529",
            "telephone_number": "623-856-7579",
            "fax_number": "623-856-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7219 N LITCHFIELD ROAD",
            "address_2": "56 MEDICAL GROUP",
            "city": "LUKE AFB",
            "state": "AZ",
            "postal_code": "853091525",
            "telephone_number": "623-856-7579",
            "fax_number": "623-856-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOVERN",
        "first_name": "RIVKA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-10",
        "last_updated": "2014-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RIVKA",
            "last_name": "KORMAN, DOTAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dave Alan Lewis, IDMT
• Myrna Asiddao Lim, NP-C
• Andrew Charles Marchiando, MD
• Curt G Martin, DDS
• Elizabeth McCourt, DDS
• Jeffrey Edward McLean, MSW
• Margaret Gerner Meigs, PH.D
• Kimberly Anne Montero, LCSW
• Alex Jacob Christian Moore
• Shelley Morris, WHNP-BC

• Clinical Social Worker in Luke Afb, AZ
• Providers in Luke Afb, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; 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.