Active NPI
Antonio Covington
- Clinical Social Worker
- Charlotte, NC
National Provider Identifier
1992347769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 3549 N Sharon Amity Rd
Charlotte, NC 28205-8900 - Phone
- (704) 469-1243
- Fax
- (704) 469-1713
- NPI assigned
- Oct 14, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
3549 N Sharon Amity Rd
Charlotte, NC 28205-8900
Mailing address
3549 N Sharon Amity Rd Ste 203
Charlotte, NC 28205-2975
Phone (704) 565-9153
Other names 1
- Antonio Covington
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Charlotte |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571011200000",
"number": "1992347769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3549 N SHARON AMITY RD STE 203",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282052975",
"telephone_number": "704-565-9153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3549 N SHARON AMITY RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282058900",
"telephone_number": "704-469-1243",
"fax_number": "704-469-1713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COVINGTON",
"first_name": "ANTONIO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-14",
"last_updated": "2019-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Charlotte",
"affiliation": "N",
"address_1": "3549 N Sharon Amity Rd Ste 203",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282052975",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ANTONIO",
"last_name": "COVINGTON",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.