Provider Demographics
NPI:1245563576
Name:COVO, CLAUDIA R (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:R
Last Name:COVO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1155 PARK AVE
Mailing Address - Street 2:APT. 6NE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-1209
Mailing Address - Country:US
Mailing Address - Phone:212-996-7801
Mailing Address - Fax:212-753-9060
Practice Address - Street 1:515 MADISON AVE
Practice Address - Street 2:SUITE 1118
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-5403
Practice Address - Country:US
Practice Address - Phone:914-325-5624
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-18
Last Update Date:2014-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY079541-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01082397Medicaid
NY9296970OtherAETNA