Nicole Christine Ivelevitch, LCSW, LSW, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW26033 Issued in FL

Practice address

365 Wekiva Springs Rd Ste 231
Longwood, FL 32779-3690

Phone

(201) 357-7941

NPI assigned

Nov 21, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1295371516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 WEKIVA SPRINGS RD STE 231",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327793690",
            "telephone_number": "201-357-7941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 WEKIVA SPRINGS RD STE 231",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327793690",
            "telephone_number": "201-357-7941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVELEVITCH",
        "first_name": "NICOLE",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "LCSW, LSW, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-21",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW26033",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "107709",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06529700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Mary Irizarry
• Muntaseer Islam, RBT
• Zunaira Islam, M.D.
• Island Lake Center, LLC (Island Lake Center)
• Rachel Elizabeth Israel, DOM, AP
• Ivy Bridge Counseling, Inc.
• Iyer Sankaran M.D.P.a.
• Ashleigh Rose Jachles, RCSWI
• Lija Jacob, NP
• Shiney Alex Jacob, PHD, DNP, MSHI, MPH,

• Clinical Social Worker in Longwood, FL
• Providers in Longwood, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; 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.