Individual provider Active NPI

Tamika Covington, LMSW

  • Social Worker
  • Jersey City, NJ
National Provider Identifier
1821603820
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
106413 Issued in NY
Practice address
75 Liberty Ave Unit C28
Jersey City, NJ 07306-5057
Phone
(917) 805-0365
NPI assigned
Sep 15, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X 106413 NY Primary

Addresses

Primary practice location

75 Liberty Ave Unit C28
Jersey City, NJ 07306-5057

Mailing address

75 Liberty Ave Unit C28
Jersey City, NJ 07306-5057
Phone (646) 694-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20251208001393 NY Practitioner - Clinical Social Worker 6406349471

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

279 Ferry St
Newark, NJ 07105-9998

3000 Agostino Ter
Kissimmee, FL 34746-2963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
106413NYMDSocial Worker
098603NYMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eden Group Health LLC Multi-Specialty CurrentSince Oct 1, 2025 Accepting new patients

Locations

418 Broadway
Ste N
Albany, NY 12207
Phone (201) 278-8966

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": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1821603820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 LIBERTY AVE UNIT C28",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065057",
            "telephone_number": "646-694-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 LIBERTY AVE UNIT C28",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065057",
            "telephone_number": "917-805-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVINGTON",
        "first_name": "TAMIKA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "106413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.