Active NPI
Wendell Covell, LMSW
- Social Worker
- Syracuse, NY
National Provider Identifier
1326574534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 097498
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 097498 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewish Family Services of Delaware | Current | 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.
-
- Clinical Social Worker
- Wilmington, DE
- NPI 1457362303
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.