Active NPI
Myh Library / Begin to Wake Therapy, LLC
- Clinical Social Worker
- South Bend, IN
National Provider Identifier
1215768635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- MYH LIBRARY / BEGIN TO WAKE THERAPY, LLC
- Practice address
- 2314 Miami St
South Bend, IN 46614-1336 - Phone
- (574) 533-1234
- Fax
- (574) 375-4165
- NPI assigned
- Aug 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Lisa A Levin, LCSW
- Title
- Owner/Therapist
- Phone
- (743) 135-1374
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2314 Miami St
South Bend, IN 46614-1336
Mailing address
733 E Victoria St
South Bend, IN 46614-1246
Phone (574) 313-1374
Other names 1
- MyhL/BTWT
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723075200000",
"number": "1215768635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "733 E VICTORIA ST",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466141246",
"telephone_number": "574-313-1374",
"fax_number": "574-375-4165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2314 MIAMI ST",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466141336",
"telephone_number": "574-533-1234",
"fax_number": "574-375-4165"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MYH LIBRARY / BEGIN TO WAKE THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-08",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A",
"authorized_official_last_name": "LEVIN",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "743-135-1374",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MyhL/BTWT",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.