Individual provider Active NPI

Sheree Levitsky, LCSW

  • Clinical Social Worker
  • Fairfax, VA
National Provider Identifier
1255716734
Registry record updated Jul 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008774 Issued in VA
Practice address
9506B Lee Hwy
Fairfax Plaza Office Park
Fairfax, VA 22031-2303
Phone
(703) 424-5118
NPI assigned
Jul 24, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0904008774 VA
Clinical Social Worker 1041C0700X 0904008774 VA Primary

Addresses

Primary practice location

9506B Lee Hwy
Fairfax Plaza Office Park
Fairfax, VA 22031-2303

Mailing address

11308 Antrim CT
Great Falls, VA 22066-1160
Phone (703) 424-5118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0904008774VAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437696000000",
    "number": "1255716734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11308 ANTRIM CT",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220661160",
            "telephone_number": "703-424-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9506B LEE HWY",
            "address_2": "FAIRFAX PLAZA OFFICE PARK",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312303",
            "telephone_number": "703-424-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVITSKY",
        "first_name": "SHEREE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-24",
        "last_updated": "2015-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0904008774",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.