Active NPI
Charles David Levine, LCSW
- Clinical Social Worker
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R042736-1
- Practice address
- 80 E 11TH St
Room 439
New York, NY 10003-6811 - Phone
- (917) 670-5370
- NPI assigned
- Mar 3, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R042736-1 | NY | Primary |
Addresses
Primary practice location
80 E 11TH St
Room 439
New York, NY 10003-6811
Mailing address
128 S Centre St
South Orange, NJ 07079-2610
Phone (917) 670-5370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
510 Hempstead Tpke
RM 203
West Hempstead, NY 11552-1152
Phone (516) 505-7200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R042736-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aldad Medical NJ, P.C | Current | Accepting new patients | |
| Aldad Medical PC | Current | Accepting new patients | |
| Federation Employment and Guidance Service, Inc. | Past | Accepting new patients | |
| Brooklyn Center for Families in Crisis | Past | Accepting new patients |
Locations
221 River St
Ste 901
Hoboken, NJ 07030
Phone (201) 308-8252
27111 76th Ave
North New Hyde Pk, NY 11040
Phone (718) 289-2100
510 Hempstead Tpke
Rm 203
West Hempstead, NY 11552
Phone 51650572001051
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Hoboken, NJ
- NPI 1386238707
-
- Community/Behavioral Health Agency
- Brooklyn, NY
- NPI 1184776452
-
- Clinic/Center
- Brooklyn, NY
- NPI 1891734836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267574400000",
"number": "1013230218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 S CENTRE ST",
"city": "SOUTH ORANGE",
"state": "NJ",
"postal_code": "070792610",
"telephone_number": "917-670-5370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 E 11TH ST",
"address_2": "ROOM 439",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100036811",
"telephone_number": "917-670-5370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "CHARLES",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-03",
"last_updated": "2010-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R042736-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.