Individual provider Active NPI

Cheryl Marla Levy, LCSW

  • Mental Health Counselor
  • Farmingdale, NY
National Provider Identifier
1245261148
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
R030825-1 Issued in NY
Practice address
37 Beverly Rd
Farmingdale, NY 11735-3302
Phone
(516) 221-0743
Fax
(516) 221-0743
NPI assigned
Jul 6, 2006
Last updated
Mar 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X R030825-1 NY Primary

Addresses

Primary practice location

37 Beverly Rd
Farmingdale, NY 11735-3302

Mailing address

37 Beverly Rd
Farmingdale, NY 11735-3302
Phone (516) 221-0743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20210302001451 NY Practitioner - Clinical Social Worker 0042626822 Practice locations: Farmingdale, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

37 Beverly Rd
Farmingdale, NY 11735-3302
Phone (516) 221-0743

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R030825-1NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458691200000",
    "number": "1245261148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 BEVERLY RD",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353302",
            "telephone_number": "516-221-0743",
            "fax_number": "516-221-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 BEVERLY RD",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353302",
            "telephone_number": "516-221-0743",
            "fax_number": "516-221-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "CHERYL",
        "middle_name": "MARLA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2016-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "R030825-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingdale, NY

Sources for this page

Verify at the official NPI Registry.