Individual provider Active NPI

Fredi Ruth Levitt

  • Clinical Social Worker
  • Yucca Valley, CA
National Provider Identifier
1033646542
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
126221 Issued in CA
Practice address
58383 29 Palms Hwy
Yucca Valley, CA 92284-5890
Phone
(760) 365-9305
NPI assigned
May 15, 2017
Last updated
Oct 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW12327 FL
Clinical Social Worker 1041C0700X 126221 CA Primary

Addresses

Primary practice location

58383 29 Palms Hwy
Yucca Valley, CA 92284-5890

Mailing address

6530 La Contenta Rd Ste 100
Yucca Valley, CA 92284-7313
Phone (760) 820-9229

Other names 1

  • Mrs. Fredi Ruth Levitt Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250325003199 CA Practitioner - Clinical Social Worker 5496278996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

58383 29 Palms Hwy
Suite 101
Yucca Valley, CA 92284-5891
Phone (760) 365-9305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW12327FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hi-Desert Memorial Health Care District CurrentSince Feb 26, 2025 Accepting new patients
Recovery in Tune, LLC CurrentSince Dec 1, 2022 Accepting new patients
Hi -Desert Memorial Health Care District CurrentSince Oct 20, 2024 Accepting new patients
Recovery by the Sea Past Accepting new patients

Locations

58375 29 Palms Hwy
Yucca Valley, CA 92284
Phone (442) 234-6821

58383 29 Palms Hwy
Yucca Valley, CA 92284

58383 29 Palms Hwy
Ste 101
Yucca Valley, CA 92284
Phone (760) 820-9229

6530 La Contenta Rd
Ste 100
Yucca Valley, CA 92284
Phone (760) 820-9229

6530 Griffin Rd
Davie, FL 33314
Phone (844) 746-8863

616 SE Central Pkwy
Stuart, FL 34994
Phone (772) 320-5885

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1033646542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6530 LA CONTENTA RD STE 100",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922847313",
            "telephone_number": "760-820-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58383 29 PALMS HWY",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922845890",
            "telephone_number": "760-365-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVITT",
        "first_name": "FREDI",
        "middle_name": "RUTH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12327",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "126221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FREDI",
            "last_name": "LEVITT",
            "middle_name": "RUTH",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Yucca Valley, CA

Sources for this page

Verify at the official NPI Registry.