Provider Demographics
NPI:1225743008
Name:COVINGTON, CURTIS ALAN (BSW)
Entity Type:Individual
Prefix:
First Name:CURTIS
Middle Name:ALAN
Last Name:COVINGTON
Suffix:
Gender:M
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1503 E 22ND ST
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50317-2525
Mailing Address - Country:US
Mailing Address - Phone:319-640-1741
Mailing Address - Fax:
Practice Address - Street 1:1503 E 22ND ST
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50317-2525
Practice Address - Country:US
Practice Address - Phone:319-640-1741
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-17
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker