Provider Demographics
NPI:1821696220
Name:BROOKS-COVINGTON, JAMITTA (LCSW)
Entity Type:Individual
Prefix:
First Name:JAMITTA
Middle Name:
Last Name:BROOKS-COVINGTON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1132 CLEAR SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-4920
Mailing Address - Country:US
Mailing Address - Phone:757-232-7057
Mailing Address - Fax:
Practice Address - Street 1:1132 CLEAR SPRINGS RD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23464-4920
Practice Address - Country:US
Practice Address - Phone:757-232-7057
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-16
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040123481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical