Active NPI
Carla B Levin, LCSW RCD
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1376653485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 55 E Washington St
Suite 1719
Chicago, IL 60602-2439 - Phone
- (312) 372-3574
- NPI assigned
- Aug 30, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | IL | Primary |
Addresses
Primary practice location
55 E Washington St
Suite 1719
Chicago, IL 60602-2439
Mailing address
2912 N Commonwealth Ave
#9
Chicago, IL 60657
Phone (312) 372-3574
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1671188 | Other | IL | BLUE CROSS BLUE SHIELD |
| 10127 | Other | IL | AMERICAN BOARD OF EXAM |
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 |
|---|---|---|---|
| 149002825 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376653485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2912 N COMMONWEALTH AVE",
"address_2": "#9",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60657",
"telephone_number": "312-372-3574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 E WASHINGTON ST",
"address_2": "SUITE 1719",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606022439",
"telephone_number": "312-372-3574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVIN",
"first_name": "CARLA",
"middle_name": "B",
"name_prefix": "Mrs.",
"credential": "LCSW RCD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1671188",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN BOARD OF EXAM",
"identifier": "10127",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.