Sue Levy, PSYD LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW0002513 Issued in FL

Practice address

3959 S Nova Rd Ste 23
Port Orange, FL 32127-9229

Phone

(386) 679-9860

Fax

(386) 253-8579

NPI assigned

Jul 7, 2006

Last updated

Aug 28, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Maria Wallis Other name

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Clinical Social Worker

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Sue Levy PSYD LCSW PA

  • Clinical Social Worker
  • Port Orange, FL
  • NPI 1124201983
  Medicare reassignment NPD Authorized official
• Jerald H. Ratner, M.D., P.a.

  • Psychiatry Physician
  • Coral Springs, FL
  • NPI 1013106962
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1093747313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3959 S NOVA RD STE 23",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321279229",
            "telephone_number": "386-679-9860",
            "fax_number": "386-253-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 S NOVA RD STE 23",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321279229",
            "telephone_number": "386-679-9860",
            "fax_number": "386-253-8579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "SUE",
        "credential": "PSYD LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW0002513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "WALLIS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kara Leonard
• David Lersch
• Amica Lertkitcharoenpon
• Ratree Lertkitcharoenpon, PT,DPT
• Wirat Lertkitcharoenpon, PT,DPT
• Lewis & Klancke Cardiology, P.a. (Daytona Heart Group)
• Kiana Lewis Francois, D.C.
• Cleophus Lewis
• Gwendolyn Lewis
• Ladon Stacy Lewis, L.M.T.

• Clinical Social Worker in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.

Verify at the official NPI Registry.