Individual provider Active NPI

Russell Levine, LMSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1457840548
Registry record updated May 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
103351 Issued in NY
Practice address
1176 Dean St Apt 1
Brooklyn, NY 11216-3596
Phone
(818) 422-4562
NPI assigned
May 4, 2018
Last updated
May 4, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2018

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 103351 NY Primary

Addresses

Primary practice location

1176 Dean St Apt 1
Brooklyn, NY 11216-3596

Mailing address

1176 Dean St Apt 1
Brooklyn, NY 11216-3596
Phone (818) 422-4562

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
I20250409001872 NY Practitioner - Clinical Social Worker 4082138276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Post Graduate Center for Mental HealthGroup PAC ID 9537050729, 15 clinicians

Practice addresses (Care Compare)

134 E 177TH St
Bronx, NY 10453-5902
Phone (212) 665-1860

213 W 35TH St
RM 403
New York, NY 10001-0215
Phone (212) 576-4104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
103351NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Postgraduate Center for Mental Health CurrentSince Feb 1, 2025 Accepting new patients

Locations

158 E 35th St
New York, NY 10016
Phone (212) 889-5500

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525392000000",
    "number": "1457840548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1176 DEAN ST APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112163596",
            "telephone_number": "818-422-4562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1176 DEAN ST APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112163596",
            "telephone_number": "818-422-4562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "RUSSELL",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-04",
        "last_updated": "2018-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "103351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.