Active NPI
Lenora Ann Levin
- Clinical Social Worker
- Herrin, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149015081
- Practice address
- 405 Rushing Dr
Herrin, IL 62948-3730 - Phone
- (618) 993-3300
- Fax
- (618) 993-0262
- NPI assigned
- Nov 5, 2017
- Last updated
- Dec 7, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 149015081 | IL | Primary |
Addresses
Primary practice location
405 Rushing Dr
Herrin, IL 62948-3730
Mailing address
PO Box 3988
Carbondale, IL 62902-3988
Phone (618) 457-5200
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | llenora23396@sih.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, MO, NH, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1900 W Littleton Blvd
Littleton, CO 80120-2023
Phone (860) 788-6404
21 E Main St
Meditelecare 21
Waukon, IA 52172-1748
Phone 8607886404152
307 N Pineview St
Stanberry, MO 64489-1509
Phone (860) 788-6404
8 Peabody Rd
Derry, NH 03038-1807
Phone (832) 742-0117
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149015081 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meditelecare of Missouri LLC | Current | Accepting new patients | |
| Medoptions of New Hampshire LLC | Clinical | Current | Accepting new patients |
| Meditelecare of Iowa PLLC | Clinical | Current | Accepting new patients |
| Meditelecare of Colorado LLC | Clinical | Current | Accepting new patients |
Locations
1900 W Littleton Blvd
Littleton, CO 80120
Phone 41550438389238
21 E Main St
#21
Waukon, IA 52172
201 Hall St
#21
West Union, IA 52175
22371 State Highway 46
Maryville, MO 64468
Phone (660) 562-2876
325 Dw Hwy
Boscawen, NH 03303
Phone (603) 796-2165
239 Pleasant St
Concord, NH 03301
Phone (603) 224-6561
8 Peabody Rd
Derry, NH 03038
Phone (603) 434-1566
Interoperability endpoints
- https://api.platform.athenahealth.com/15796/brand/1/csg/1/fhir/r4
- llenora23396@sih.direct-ci.com
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.
-
- Clinical Psychologist
- Littleton, CO
- NPI 1407471774
-
- Clinical Psychologist
- Saint Louis, MO
- NPI 1013416585
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Laconia Rehab Center
- Skilled Nursing Facility
- Laconia, NH
- NPI 1720260557
Nursing home
-
- Skilled Nursing Facility
- Columbia, MO
- NPI 1700564333
Nursing home
-
dba Estherville Community Care Center
- Skilled Nursing Facility
- Estherville, IA
- NPI 1003707977
Nursing home
-
dba Jefferson City Manor Care Center
- Skilled Nursing Facility
- Jefferson City, MO
- NPI 1962507459
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607299200000",
"number": "1093227613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3988",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629023988",
"telephone_number": "618-457-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 RUSHING DR",
"city": "HERRIN",
"state": "IL",
"postal_code": "629483730",
"telephone_number": "618-993-3300",
"fax_number": "618-993-0262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVIN",
"first_name": "LENORA",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-05",
"last_updated": "2020-12-07",
"certification_date": "2020-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149015081",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "llenora23396@sih.direct-ci.com",
"affiliation": "N",
"address_1": "405 Rushing Dr",
"city": "Herrin",
"state": "IL",
"country_code": "US",
"postal_code": "629483730",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Herrin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.