Level Up Behavioral Health

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

LEVEL UP BEHAVIORAL HEALTH

Practice address

708 Goodlette-Frank Rd N Ste 344
Naples, FL 34102-5644

Phone

(239) 220-7745

NPI assigned

Nov 9, 2023

Organization subpart

No

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

Authorized official

Name

Kevin Clark, LCSWNPI 1104255546

Title

Provider

Phone

(239) 220-7745

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Clark

  • Social Worker
  • East Orange, NJ
  • NPI 1104255546

  FL

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1407620552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4127 ZELKOVA CT",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341199052",
            "telephone_number": "239-220-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 GOODLETTE-FRANK RD N STE 344",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025644",
            "telephone_number": "239-220-7745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVEL UP BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-09",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "239-220-7745",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dave Lessard
• Peter C Letendre, MA, CAGS, LMHC, LMHC
• Harald Wolfgang Lettner, PHD
• Kevin Leung, M.D.
• Lauren Levato, BCABA
• Gerald Frank Levens, M.D.
• Melissa Ann Levens, ARNP
• Lawrence Craig Leventhal, MD
• Andrew Levine, DMD
• Ronald L. Levine, M.D.

• Social Worker in Naples, FL
• Providers in Naples, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.