Active NPI
Ronald A Levin, LCSW-C
- Clinical Social Worker
- Gaithersburg, MD
National Provider Identifier
1295874857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 02141
- Practice address
- 9053 Shady Grove CT
Gaithersburg, MD 20877-1301 - Phone
- (301) 330-8832
- Fax
- (301) 330-8832
- NPI assigned
- Feb 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 02141 | MD | Primary |
Addresses
Primary practice location
9053 Shady Grove CT
Gaithersburg, MD 20877-1301
Mailing address
9053 Shady Grove CT
Gaithersburg, MD 20877-1301
Phone (301) 330-8832
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q378 | Other | MD | MARYLAND BCBS |
| 513788 | Other | NCPPO | |
| 001688 | Other | VALUE OPTIONS | |
| A1180001 | Other | BCBS NATIONAL CAP AREA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2014 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1295874857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9053 SHADY GROVE CT",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208771301",
"telephone_number": "301-330-8832",
"fax_number": "301-330-8832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9053 SHADY GROVE CT",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208771301",
"telephone_number": "301-330-8832",
"fax_number": "301-330-8832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVIN",
"first_name": "RONALD",
"middle_name": "A",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "02141",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARYLAND BCBS",
"identifier": "Q378",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPPO",
"identifier": "513788",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "001688",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NATIONAL CAP AREA",
"identifier": "A1180001",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.