Provider Demographics
NPI:1083954309
Name:COVINGTON, AMBER L (LICSW)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:L
Last Name:COVINGTON
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 SLEEPY HOLLOW LN
Mailing Address - Street 2:
Mailing Address - City:SANDWICH
Mailing Address - State:MA
Mailing Address - Zip Code:02563-2926
Mailing Address - Country:US
Mailing Address - Phone:203-706-9574
Mailing Address - Fax:
Practice Address - Street 1:13 SLEEPY HOLLOW LN
Practice Address - Street 2:
Practice Address - City:SANDWICH
Practice Address - State:MA
Practice Address - Zip Code:02563-2926
Practice Address - Country:US
Practice Address - Phone:203-706-9574
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-23
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC100671041C0700X
MA1193941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical