Doctor Name: | RIVKA MCGOVERN |
NPI Number: | 1295986008 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 080910 |
Business Practice Address: | 7219 N Litchfield Road 56 Medical Group Luke Afb, AZ - 853091525 |
Business Phone Number: | 6238567579 |
Business Fax Number: | 6238564433 |
Mailing Address: | 7219 N Litchfield Rd, 56 Medical Group LUKE AIR FORCE BASE |
State: | AZ |
Postal Code: | 853091529 |
Phone Number: | 6238567579 |
Fax Number: | 6238564433 |
NPI Enumeration Date: | 10/10/2008 |
NPI Last Update Date: | 01/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 080910 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |