Active NPI
Nicole Levitt
- Social Worker
- Jesup, GA
National Provider Identifier
1386506509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 135938-121
- Practice address
- 2902 Lanes Bridge Rd
Jesup, GA 31545-7956 - Phone
- (414) 455-3879
- NPI assigned
- Nov 25, 2025
- Last updated
- Dec 21, 2025
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 135938-121 | GA | Primary |
Addresses
Primary practice location
2902 Lanes Bridge Rd
Jesup, GA 31545-7956
Mailing address
2902 Lanes Bridge Rd
Jesup, GA 31545-7956
Phone (414) 455-3879
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 |
|---|---|---|---|
| 135938-121 | GA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766275200000",
"number": "1386506509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2902 LANES BRIDGE RD",
"city": "JESUP",
"state": "GA",
"postal_code": "315457956",
"telephone_number": "414-455-3879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2902 LANES BRIDGE RD",
"city": "JESUP",
"state": "GA",
"postal_code": "315457956",
"telephone_number": "414-455-3879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVITT",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-25",
"last_updated": "2025-12-21",
"certification_date": "2025-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "GA",
"license": "135938-121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jesup, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.