Organization Active NPI

Andrea Levinson

  • Clinical Social Worker
  • St Augustine, FL
National Provider Identifier
1073924619
Registry record updated May 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW Issued in FL
Legal business name
ANDREA LEVINSON
Practice address
2180 A1A S
Suite 201
Saint Augustine, FL 32080-6591
Phone
(904) 471-1414
NPI assigned
May 16, 2014
Last updated
May 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2014

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

Authorized official

Name
Andrea Levinson, LCSWNPI 1205835295
Title
Sole Proprietor
Phone
(904) 471-1414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW FL Primary

Addresses

Primary practice location

2180 A1A S
Suite 201
Saint Augustine, FL 32080-6591

Mailing address

2180 A1A S
Suite 201
Saint Augustine, FL 32080-6591
Phone (904) 471-1414

Other identifiers 1

IdentifierTypeStateIssuer
U0764OtherFLMEDICARE, FORMER UPIN

National Provider Directory

National Provider Directory

Locations

2180 A1A S
Ste 201
St Augustine, FL 32080
Phone (904) 471-1414

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400198400000",
    "number": "1073924619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 A1A S",
            "address_2": "SUITE 201",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320806591",
            "telephone_number": "904-471-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 A1A S",
            "address_2": "SUITE 201",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320806591",
            "telephone_number": "904-471-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA LEVINSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-16",
        "last_updated": "2014-05-16",
        "status": "A",
        "authorized_official_last_name": "LEVINSON",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "904-471-1414",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "LCSW",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE, FORMER UPIN",
            "identifier": "U0764",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.