Provider Demographics
NPI:1609933753
Name:COVINO, FATIMA ELIA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:FATIMA
Middle Name:ELIA
Last Name:COVINO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:PROF
Other - First Name:FATIMA
Other - Middle Name:ELIA
Other - Last Name:COVINO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:34 MOUNTAIN BLVD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:NJ
Mailing Address - Zip Code:07059-2640
Mailing Address - Country:US
Mailing Address - Phone:908-769-0100
Mailing Address - Fax:
Practice Address - Street 1:2421 ATLANTIC AVE
Practice Address - Street 2:SUITE # 102
Practice Address - City:MANASQUAN
Practice Address - State:NJ
Practice Address - Zip Code:08736-1000
Practice Address - Country:US
Practice Address - Phone:732-528-5334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-01
Last Update Date:2017-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC052979001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical