Provider Demographics
NPI:1760529788
Name:COVELLI, BETH (LMSW-R)
Entity Type:Individual
Prefix:MRS
First Name:BETH
Middle Name:
Last Name:COVELLI
Suffix:
Gender:F
Credentials:LMSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11711 MYRTLE AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11418-1751
Mailing Address - Country:US
Mailing Address - Phone:718-849-6300
Mailing Address - Fax:718-849-9654
Practice Address - Street 1:11711 MYRTLE AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11418-1751
Practice Address - Country:US
Practice Address - Phone:718-849-6300
Practice Address - Fax:718-849-9654
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRO52256-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical