Active NPI
Sherry Wall Covington
- Clinical Social Worker
- Fayetteville, NC
National Provider Identifier
1518795871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C017290
- Practice address
- 1981 Oakview Dr
Fayetteville, NC 28304-2624 - Phone
- (910) 261-7488
- NPI assigned
- Jul 26, 2024
- 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 | C017290 | NC | Primary |
Addresses
Primary practice location
1981 Oakview Dr
Fayetteville, NC 28304-2624
Mailing address
1981 Oakview Dr
Fayetteville, NC 28304-2624
Other practice location 1
1981 Oakview Dr
Fayetteville, NC 28304-2624
Phone (910) 973-4384
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C017290 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1518795871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1981 OAKVIEW DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283042624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1981 OAKVIEW DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283042624",
"telephone_number": "910-261-7488"
}
],
"practiceLocations": [
{
"address_1": "1981 Oakview Dr",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283042624",
"country_code": "US",
"telephone_number": "910-973-4384",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COVINGTON",
"first_name": "SHERRY",
"middle_name": "WALL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-26",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C017290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.