Active NPI
Micah Daniel Levenson, LICSW
- Clinical Social Worker
- Covington, WA
National Provider Identifier
1336303668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW60188308
- Practice address
- 27023 164TH Ave SE
Covington, WA 98042-8241 - Phone
- (206) 715-1762
- NPI assigned
- Jul 16, 2008
- 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 | LW60188308 | WA | Primary |
Addresses
Primary practice location
27023 164TH Ave SE
Covington, WA 98042-8241
Mailing address
27023 164TH Ave SE
Covington, WA 98042-8241
Phone (206) 715-1762
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
| License | State | Type | Specialty |
|---|---|---|---|
| LW60188308 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312416000000",
"number": "1336303668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27023 164TH AVE SE",
"city": "COVINGTON",
"state": "WA",
"postal_code": "980428241",
"telephone_number": "206-715-1762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27023 164TH AVE SE",
"city": "COVINGTON",
"state": "WA",
"postal_code": "980428241",
"telephone_number": "206-715-1762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVENSON",
"first_name": "MICAH",
"middle_name": "DANIEL",
"name_prefix": "Mr.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-16",
"last_updated": "2011-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW60188308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.