Individual provider Active NPI

Deborah L Lev-ER, MSW LCSW

  • Clinical Social Worker
  • Santa Rosa, CA
National Provider Identifier
1629196977
Registry record updated Dec 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 29412 Issued in CA
Practice address
3438 Mendocino Ave # B
Santa Rosa, CA 95403-2275
Phone
(707) 387-4199
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 29412 CA
Clinical Social Worker 1041C0700X LCS 29412 CA Primary

Addresses

Primary practice location

3438 Mendocino Ave # B
Santa Rosa, CA 95403-2275

Mailing address

4727 Annadel Heights Dr
Santa Rosa, CA 95405-8207
Phone (414) 248-1931

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20220511001157 CA Practitioner - Clinical Social Worker 2769422666 Practice locations: Santa Rosa, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3438 Mendocino Ave
Suite B
Santa Rosa, CA 95403-2275
Phone (414) 248-1931

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 29412CAMDClinical Social Worker
29412CAMDReflexologist
4301WIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoma Therapy Network CurrentSince Sep 4, 2022 Accepting new patients
Sonoma Therapy Network Support Services Inc Clinical PastSince Sep 4, 2022 Accepting new patients

Locations

3438 Mendocino Ave
#B
Santa Rosa, CA 95403
Phone (707) 387-4525

Organizations & group practices 2

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670630400000",
    "number": "1629196977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 ANNADEL HEIGHTS DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954058207",
            "telephone_number": "414-248-1931",
            "fax_number": "707-571-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3438 MENDOCINO AVE # B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032275",
            "telephone_number": "707-387-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEV-ER",
        "first_name": "DEBORAH",
        "middle_name": "L",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2022-12-10",
        "certification_date": "2022-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "29412",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 29412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.