Active NPI
Carol A Levin
- Clinical Social Worker
- Lakewood, NJ
National Provider Identifier
1366788192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05517800
- Practice address
- 38 Lisa CT
Lakewood, NJ 08701-1560 - Phone
- (888) 744-2030
- NPI assigned
- Dec 26, 2012
- Sex
- Female
- 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 | 44SC05517800 | NJ | Primary |
Addresses
Primary practice location
38 Lisa CT
Lakewood, NJ 08701-1560
Mailing address
341 11TH St
Lakewood, NJ 08701-1825
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05517800 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity Health Group, LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424390400000",
"number": "1366788192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "341 11TH ST",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087011825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 LISA CT",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087011560",
"telephone_number": "888-744-2030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVIN",
"first_name": "CAROL",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-26",
"last_updated": "2015-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05517800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.