Individual provider Active NPI

Elizabeth Levine, LMSW

  • Social Worker
  • Astoria, NY
National Provider Identifier
1255821872
Registry record updated May 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
084673 Issued in NY
Practice address
3636 33Rd St Ste 502
Astoria, NY 11106-2329
Phone
(718) 426-8110
Fax
(718) 426-8117
NPI assigned
May 18, 2018
Last updated
May 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 084673 NY Primary

Addresses

Primary practice location

3636 33Rd St Ste 502
Astoria, NY 11106-2329

Mailing address

4111 54TH St Apt 3F
Woodside, NY 11377-4286
Phone (347) 423-4992

Other practice location 1

4012 31st Ave Ste 1
Astoria, NY 11103-3459
Phone (718) 766-7160

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
084673NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Crespo Mental Health Counseling Service PLLC PastSince Feb 2, 2020 Accepting new patients
Queens Counseling Services LCSW, PLLC PastSince May 9, 2018 Accepting new patients

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": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526601600000",
    "number": "1255821872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 54TH ST APT 3F",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774286",
            "telephone_number": "347-423-4992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 33RD ST STE 502",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111062329",
            "telephone_number": "718-426-8110",
            "fax_number": "718-426-8117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4012 31st Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "111033459",
            "country_code": "US",
            "telephone_number": "718-766-7160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-18",
        "last_updated": "2018-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "084673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; 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.