Individual provider Active NPI

Carolyn Eve Levy, LCSW-C

  • Clinical Social Worker
  • Gaithersburg, MD
National Provider Identifier
1396950200
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15335 Issued in MD
Practice address
16220 Frederick Rd Ste 502
Gaithersburg, MD 20877-4022
Phone
(301) 978-9750
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 15335 MD Primary

Addresses

Primary practice location

16220 Frederick Rd Ste 502
Gaithersburg, MD 20877-4022

Mailing address

15701 Crabbs Branch Way
Rockville, MD 20855-2634
Phone (301) 251-8965

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100316000049 DC Practitioner - Clinical Social Worker 9638118235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Willow Oak Therapy Center, IncGroup PAC ID 5698661023, 18 clinicians

Practice addresses (Care Compare)

15701 Crabbs Branch Way
Rockville, MD 20855-2634
Phone (301) 251-8965

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Oak Therapy Center, Inc. CurrentSince Sep 16, 2020 Accepting new patients
Threshold Services, Inc. Past Accepting new patients
Jody Tabner Thayer LLC Clinical PastSince Sep 16, 2020 Accepting new patients
County of Middlesex Past Accepting new patients
County of Middlesex PastSince Dec 15, 2024 Accepting new patients

Locations

15701 Crabbs Branch Way
Rockville, MD 20855
Phone (301) 251-8965

Organizations & group practices 5

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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1396950200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15701 CRABBS BRANCH WAY",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208552634",
            "telephone_number": "301-251-8965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16220 FREDERICK RD STE 502",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208774022",
            "telephone_number": "301-978-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "CAROLYN",
        "middle_name": "EVE",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.