Individual provider Active NPI

Jamitta Brooks-Covington, LCSW

  • Clinical Social Worker
  • Virginia Beach, VA
National Provider Identifier
1821696220
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904012348 Issued in VA
Practice address
1132 Clear Springs Rd
Virginia Beach, VA 23464-4920
Phone
(757) 232-7057
NPI assigned
Oct 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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 0904012348 VA Primary

Addresses

Primary practice location

1132 Clear Springs Rd
Virginia Beach, VA 23464-4920

Mailing address

1132 Clear Springs Rd
Virginia Beach, VA 23464-4920
Phone (757) 232-7057

Other practice location 1

1811 King St
Portsmouth, VA 23704-3032
Phone (757) 393-8618 ext. 8062

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0904012348VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
City of Portsmouth CurrentSince Oct 1, 2020 Accepting new patients

Locations

1811 King St
Portsmouth, VA 23704
Phone (757) 393-5404

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": "1602806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1821696220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 CLEAR SPRINGS RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234644920",
            "telephone_number": "757-232-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 CLEAR SPRINGS RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234644920",
            "telephone_number": "757-232-7057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1811 King St",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "237043032",
            "country_code": "US",
            "telephone_number": "757-393-8618 x8062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS-COVINGTON",
        "first_name": "JAMITTA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-16",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904012348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.