Individual provider Active NPI

Carole Pestronk Levitt, LCSW

  • Clinical Social Worker
  • Larchmont, NY
National Provider Identifier
1427113752
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R0350001 Issued in NY
Practice address
3 Pheasant Run
Larchmont, NY 10538-3423
Phone
(914) 633-1689
Fax
(914) 235-4215
NPI assigned
Dec 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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 R0350001 NY Primary

Addresses

Primary practice location

3 Pheasant Run
Larchmont, NY 10538-3423

Mailing address

3 Pheasant Run
Larchmont, NY 10538-3423
Phone (914) 633-1689

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20090326000393 NY Practitioner - Clinical Social Worker 0345307955 Practice locations: Larchmont, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Columbia University College of Physicians and Surgeons, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3 Pheasant Run
Larchmont, NY 10538-3423
Phone (914) 633-1689

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R0350001NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1427113752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PHEASANT RUN",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105383423",
            "telephone_number": "914-633-1689",
            "fax_number": "914-235-4215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PHEASANT RUN",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105383423",
            "telephone_number": "914-633-1689",
            "fax_number": "914-235-4215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVITT",
        "first_name": "CAROLE",
        "middle_name": "PESTRONK",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0350001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Larchmont, NY

Sources for this page

Verify at the official NPI Registry.