Active NPI
Wynne Levine
- Clinical Social Worker
- Danvers, MA
National Provider Identifier
1366265225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW2121176
- Practice address
- 99 Conifer Hill Dr Unit 104
Danvers, MA 01923-1198 - Phone
- (351) 232-2015
- NPI assigned
- Nov 7, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Clinical Social Worker | 1041C0700X | LCSW2121176 | MA | Primary |
Addresses
Primary practice location
99 Conifer Hill Dr Unit 104
Danvers, MA 01923-1198
Mailing address
191 Beach Rd Unit D204
Salisbury, MA 01952-2292
Phone (207) 475-7551
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 |
|---|---|---|---|
| LCSW2121176 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743033600000",
"number": "1366265225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 BEACH RD UNIT D204",
"city": "SALISBURY",
"state": "MA",
"postal_code": "019522292",
"telephone_number": "207-475-7551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 CONIFER HILL DR UNIT 104",
"city": "DANVERS",
"state": "MA",
"postal_code": "019231198",
"telephone_number": "351-232-2015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "WYNNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-07",
"last_updated": "2025-03-27",
"certification_date": "2025-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "LCSW2121176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danvers, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.