Individual provider Active NPI

Candice Covington-Thomas, JD, LCSW

  • Clinical Social Worker
  • Highland Park, NJ
National Provider Identifier
1699914101
Registry record updated Mar 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05288700 Issued in NJ
Practice address
317 Cleveland Ave
Suite 203
Highland Park, NJ 08904-1817
Phone
(732) 963-7996
Fax
(732) 360-0740
NPI assigned
Feb 8, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2021

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 44SC05288700 NJ Primary

Addresses

Primary practice location

317 Cleveland Ave
Suite 203
Highland Park, NJ 08904-1817

Mailing address

317 Cleveland Ave
Suite 203
Highland Park, NJ 08904-1817
Phone (732) 963-7996

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20090515000334 NJ Practitioner - Clinical Social Worker 6204985500 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Juris Doctor

State licenses

LicenseStateTypeSpecialty
44SC05288700NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lessons N Sessions, LLC CurrentSince Mar 14, 2021 Accepting new patients

Locations

317 Cleveland Ave
Ste 203
Highland Park, NJ 08904
Phone (732) 963-7996

13 Clyde Rd
Ste 103
Somerset, NJ 08873
Phone (732) 963-7996

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.

NPI Registry JSON

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

{
    "created_epoch": "1234051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614988800000",
    "number": "1699914101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 CLEVELAND AVE",
            "address_2": "SUITE 203",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089041817",
            "telephone_number": "732-963-7996",
            "fax_number": "732-360-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 CLEVELAND AVE",
            "address_2": "SUITE 203",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089041817",
            "telephone_number": "732-963-7996",
            "fax_number": "732-360-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVINGTON-THOMAS",
        "first_name": "CANDICE",
        "credential": "JD, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-08",
        "last_updated": "2021-03-06",
        "certification_date": "2021-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05288700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, NJ

Sources for this page

Verify at the official NPI Registry.