Individual provider Active NPI

Shoshana Levie, LCSW

  • Clinical Social Worker
  • Ridgewood, NJ
National Provider Identifier
1194361600
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06211200 Issued in NJ
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

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
Q5-0000192DEMDClinical Social Worker
125407MAMDClinical Social Worker
44SC06211200NJMDClinical Social Worker
089127NYMDClinical 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

Verify at the official NPI Registry.