Individual provider Active NPI

Jill Richmond-Covey, LCSW, BCD

  • Clinical Social Worker
  • Niantic, CT
National Provider Identifier
1538245196
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
000616 Issued in CT
Practice address
206 Roxbury Rd
Niantic, CT 06357-1011
Phone
(860) 691-0799
Fax
(860) 739-8422
NPI assigned
Oct 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 000616 CT Primary

Addresses

Primary practice location

206 Roxbury Rd
Niantic, CT 06357-1011

Mailing address

206 Roxbury Rd
Niantic, CT 06357-1011
Phone (860) 691-0799

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
000616CTMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1538245196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 ROXBURY RD",
            "city": "NIANTIC",
            "state": "CT",
            "postal_code": "063571011",
            "telephone_number": "860-691-0799",
            "fax_number": "860-739-8422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 ROXBURY RD",
            "city": "NIANTIC",
            "state": "CT",
            "postal_code": "063571011",
            "telephone_number": "860-691-0799",
            "fax_number": "860-739-8422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHMOND-COVEY",
        "first_name": "JILL",
        "credential": "LCSW, BCD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "000616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niantic, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.