Doctor Name: | LISA M COVINGTON |
NPI Number: | 1386961951 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW-C |
License Number: | 08818 |
Business Practice Address: | 16001 Amina Dr Burtonsville, MD - 208661039 |
Business Phone Number: | 2408933951 |
Business Fax Number: | |
Mailing Address: | 16001 Amina Dr, BURTONSVILLE |
State: | MD |
Postal Code: | 208661039 |
Phone Number: | 2408933951 |
Fax Number: | |
NPI Enumeration Date: | 04/22/2010 |
NPI Last Update Date: | 04/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 08818 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |