Active NPI
Shoshana Levie, LCSW
- Clinical Social Worker
- Ridgewood, NJ
National Provider Identifier
1194361600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC06211200
- Practice address
- 20 Wilsey SQ
Ridgewood, NJ 07450-3793 - Phone
- (201) 409-0393
- NPI assigned
- Nov 19, 2019
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Q5-0000192 | DE | |
| Clinical Social Worker | 1041C0700X | 125407 | MA | |
| Clinical Social Worker | 1041C0700X | 089127 | NY | |
| Clinical Social Worker | 1041C0700X | 44SC06211200 | NJ | Primary |
Addresses
Primary practice location
20 Wilsey SQ
Ridgewood, NJ 07450-3793
Mailing address
20 Wilsey SQ
Ridgewood, NJ 07450-3793
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 28, 2024 through Jun 28, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q5-0000192 | DE | MD | Clinical Social Worker |
| 125407 | MA | MD | Clinical Social Worker |
| 44SC06211200 | NJ | MD | Clinical Social Worker |
| 089127 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740009600000",
"number": "1194361600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 WILSEY SQ",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074503793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 WILSEY SQ",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074503793",
"telephone_number": "201-409-0393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVIE",
"first_name": "SHOSHANA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-19",
"last_updated": "2025-02-20",
"certification_date": "2025-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DE",
"license": "Q5-0000192",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "125407",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "089127",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC06211200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.