Individual provider Active NPI

Fatima Elia Covino, LCSW

  • Clinical Social Worker
  • Manasquan, NJ
National Provider Identifier
1609933753
Registry record updated Jun 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05297900 Issued in NJ
Practice address
2421 Atlantic Ave
Suite # 102
Manasquan, NJ 08736-1000
Phone
(732) 528-5334
NPI assigned
Jan 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2017

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 44SC05297900 NJ Primary

Addresses

Primary practice location

2421 Atlantic Ave
Suite # 102
Manasquan, NJ 08736-1000

Mailing address

34 Mountain Blvd
Warren, NJ 07059-2640
Phone (908) 769-0100

Other names 1

  • Prof. Fatima Elia Covino Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20190805001677 AZ Practitioner - Clinical Social Worker 5092935361 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8422 E Shea Blvd
Suite 100
Scottsdale, AZ 85260-6661
Phone (480) 463-4461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05297900NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Medical Group, LLC CurrentSince Aug 5, 2019 Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Aug 5, 2019 Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients
Advanced Psychotherapy LLC CurrentSince Jun 1, 2022 Accepting new patients
Squaw Peak Family Physicians PC Current Accepting new patients
Evers Psychological Associates PC PastSince Mar 6, 2011 Accepting new patients

Locations

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

4712 E Dynamite Blvd
Cave Creek, AZ 85331
Phone (480) 342-8711

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

26224 N Tatum Blvd
Ste 7
Phoenix, AZ 85050
Phone (602) 992-1900

1610 W Glendale Ave
#128
Phoenix, AZ 85021
Phone (623) 780-1999

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

9327 N 3rd St
Ste 100
Phoenix, AZ 85020
Phone (602) 371-3100

18404 N Tatum Blvd
Ste 101
Phoenix, AZ 85032
Phone (602) 992-1900

8405 N Pima Center Pkwy
Ste 203
Scottsdale, AZ 85258
Phone (480) 587-6930

8422 E Shea Blvd
Ste 100
Scottsdale, AZ 85260
Phone (480) 463-4461

14301 N 87th St
Ste 305
Scottsdale, AZ 85260
Phone (480) 463-4461

Organizations & group practices 6

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": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496707200000",
    "number": "1609933753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 MOUNTAIN BLVD",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070592640",
            "telephone_number": "908-769-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 ATLANTIC AVE",
            "address_2": "SUITE # 102",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361000",
            "telephone_number": "732-528-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVINO",
        "first_name": "FATIMA",
        "middle_name": "ELIA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-01",
        "last_updated": "2017-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05297900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FATIMA",
            "last_name": "COVINO",
            "middle_name": "ELIA",
            "prefix": "PROF.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Manasquan, NJ

Sources for this page

Verify at the official NPI Registry.