Provider Demographics
NPI:1598377418
Name:KOVALSKY, IVONE ALEJANDRA (LSW)
Entity Type:Individual
Prefix:
First Name:IVONE
Middle Name:ALEJANDRA
Last Name:KOVALSKY
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:IVONE
Other - Middle Name:ALEJANDRA
Other - Last Name:FALK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW
Mailing Address - Street 1:147 HART AVE
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-5723
Mailing Address - Country:US
Mailing Address - Phone:714-227-4884
Mailing Address - Fax:
Practice Address - Street 1:3199 D ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19134-2335
Practice Address - Country:US
Practice Address - Phone:215-400-4701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-21
Last Update Date:2020-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW131257104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker