Amanda Nichole Covalt

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW023869 Issued in PA

Practice address

546 Broadway
Hanover, PA 17331-2007

Phone

(717) 739-6576

NPI assigned

Aug 4, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 27, 2024 through Jun 27, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Susquehanna Valley Community Mental Health Services

  • Mental Health Counselor
  • Hanover, PA
  • NPI 1477947620
  NPD

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1609486620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 BROADWAY",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173312007",
            "telephone_number": "717-739-6576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 BROADWAY",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173312007",
            "telephone_number": "717-739-6576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVALT",
        "first_name": "AMANDA",
        "middle_name": "NICHOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW023869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Rose Cooke, COTA
• Cornerstone Surgical, LLC
• Edward H Coronado, MD
• Kristin Coulson
• Erica Courtney
• Beth Covington, NP-C
• Craig Cramer, MS, CCC-SLP
• Tracy W Crook, LPN, CFA
• Crystal Lynn Crosman, CRNP
• Larissa Crownover

• Clinical Social Worker in Hanover, PA
• Providers in Hanover, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.