Provider Demographics
NPI:1225894413
Name:KOVI, JENNIFER (LISW-S)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:KOVI
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 BABBLING BROOK OVAL
Mailing Address - Street 2:
Mailing Address - City:HINCKLEY
Mailing Address - State:OH
Mailing Address - Zip Code:44233-9646
Mailing Address - Country:US
Mailing Address - Phone:440-724-5667
Mailing Address - Fax:
Practice Address - Street 1:313 BABBLING BROOK OVAL
Practice Address - Street 2:
Practice Address - City:HINCKLEY
Practice Address - State:OH
Practice Address - Zip Code:44233-9646
Practice Address - Country:US
Practice Address - Phone:440-724-5667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-26
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
I.2103271-SUPV1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical