Individual provider Active NPI

Wendell Covell, LMSW

  • Social Worker
  • Syracuse, NY
National Provider Identifier
1326574534
Registry record updated May 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
097498 Issued in NY
Practice address
50 Presidential Plaza
Jefferson Tower Suite LL05
Syracuse, NY 13202
Phone
(315) 877-4461
NPI assigned
May 8, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 097498 NY Primary

Addresses

Primary practice location

50 Presidential Plaza
Jefferson Tower Suite LL05
Syracuse, NY 13202

Mailing address

209 Stillwell Cir
East Syracuse, NY 13057-1621
Phone (315) 479-1359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20210825000881 DE Practitioner - Clinical Social Worker 2163827445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jewish Family Services of DelawareGroup PAC ID 4082643739, 21 clinicians

Practice addresses (Care Compare)

99 Passmore Rd
Wilmington, DE 19803-1548
Phone (302) 478-9411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
097498NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Services of Delaware CurrentSince Aug 1, 2021 Accepting new patients

Locations

20684 John J Williams Hwy
Ste 4
Lewes, DE 19958
Phone (302) 478-9411

99 Passmore Rd
Wilmington, DE 19803
Phone (302) 478-9411

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1494201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1326574534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 STILLWELL CIR",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130571621",
            "telephone_number": "315-479-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 PRESIDENTIAL PLAZA",
            "address_2": "JEFFERSON TOWER SUITE LL05",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13202",
            "telephone_number": "315-877-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVELL",
        "first_name": "WENDELL",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-08",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "097498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.