Healthcare Provider Details

I. General information

NPI: 1588408249
Provider Name (Legal Business Name): ISABELLA RENEE' COVINGTON LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/19/2024
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2346 MORMON TREK BLVD STE 1600
IOWA CITY IA
52246-4372
US

IV. Provider business mailing address

820 3RD AVE SW APT 1
CEDAR RAPIDS IA
52404-8500
US

V. Phone/Fax

Practice location:
  • Phone: 319-800-5564
  • Fax:
Mailing address:
  • Phone: 712-204-2692
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number123950
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: