Active NPI
Mary Patricia Levis, MSW,LCSW
- Clinical Social Worker
- Frazier Park, CA
National Provider Identifier
1154471076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 22915
- Practice address
- 705 San Emidio Way
Frazier Park, CA 93225 - Phone
- (661) 245-2617
- Fax
- (661) 245-3181
- NPI assigned
- Jan 11, 2007
- Sex
- Female
- 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 | 22915 | CA | Primary |
Addresses
Primary practice location
705 San Emidio Way
Frazier Park, CA 93225
Mailing address
PO Box 1083
Frazier Park, CA 93225-1083
Phone (661) 245-2617
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22915 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154471076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1083",
"city": "FRAZIER PARK",
"state": "CA",
"postal_code": "932251083",
"telephone_number": "661-245-2617",
"fax_number": "661-245-3181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 SAN EMIDIO WAY",
"city": "FRAZIER PARK",
"state": "CA",
"postal_code": "93225",
"telephone_number": "661-245-2617",
"fax_number": "661-245-3181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVIS",
"first_name": "MARY",
"middle_name": "PATRICIA",
"name_prefix": "Mrs.",
"credential": "MSW,LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "22915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frazier Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.