Individual provider Active NPI

Winnie Leviness, LCSW

  • Clinical Social Worker
  • Beaumont, TX
National Provider Identifier
1568798668
Registry record updated Oct 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22832 Issued in TX
Practice address
9055 Manion Dr
Beaumont, TX 77706-3856
Phone
(409) 866-0976
Fax
(409) 866-8190
NPI assigned
Oct 23, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2009

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 22832 TX Primary

Addresses

Primary practice location

9055 Manion Dr
Beaumont, TX 77706-3856

Mailing address

9055 Manion Dr
Beaumont, TX 77706-3856
Phone (409) 866-0976

Other identifiers 1

IdentifierTypeStateIssuer
0378028MedicaidTX

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

LicenseStateTypeSpecialty
22832TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Buckner Children & Family Services, Inc. PastSince Aug 17, 2012 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256256000000",
    "number": "1568798668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9055 MANION DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777063856",
            "telephone_number": "409-866-0976",
            "fax_number": "409-866-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9055 MANION DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777063856",
            "telephone_number": "409-866-0976",
            "fax_number": "409-866-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINESS",
        "first_name": "WINNIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-23",
        "last_updated": "2009-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "22832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0378028",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.