Individual provider Active NPI

Joyce Ellen Levenson, LICSW

  • Clinical Social Worker
  • Danvers, MA
National Provider Identifier
1225126402
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
104693 Issued in MA
Practice address
140 Commonwealth Avenue
Catholic Charities
Danvers, MA 01923
Phone
(978) 774-6820
Fax
(978) 777-4242
NPI assigned
Oct 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 104693 MA Primary

Addresses

Primary practice location

140 Commonwealth Avenue
Catholic Charities
Danvers, MA 01923

Mailing address

140 Commonwealth Avenue
Ste 202 Catholic Charities
Danvers, MA 01923
Phone (978) 774-6820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20050926001102 MA Practitioner - Clinical Social Worker 9133153331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

275 W Broadway
Boston, MA 02127-1943
Phone (978) 774-6820

280 Washington St
Salem, MA 01970-3640
Phone (978) 774-6820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charitable Bureau of the Archdiocese of Boston, Inc. CurrentSince Jan 1, 2000 Accepting new patients
Catholic Charitable Bureau of the Archdiocesse of Boston, Inc. Dba CurrentSince Jan 1, 2000 Accepting new patients

Locations

152 Sylvan St
Danvers, MA 01923
Phone (800) 804-5041

280 Washington St
Salem, MA 01970
Phone (978) 740-6923

275 W Broadway
South Boston, MA 02127
Phone (617) 268-9670

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225126402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 COMMONWEALTH AVENUE",
            "address_2": "STE 202 CATHOLIC CHARITIES",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "01923",
            "telephone_number": "978-774-6820",
            "fax_number": "978-777-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 COMMONWEALTH AVENUE",
            "address_2": "CATHOLIC CHARITIES",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "01923",
            "telephone_number": "978-774-6820",
            "fax_number": "978-777-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVENSON",
        "first_name": "JOYCE",
        "middle_name": "ELLEN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "104693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

Verify at the official NPI Registry.