Individual provider Active NPI

Julie A. Levy, M.S.W., L.C.S.W.

  • Clinical Social Worker
  • Northfield, IL
National Provider Identifier
1649493495
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
423 Central Ave
Suite 206
Northfield, IL 60093-3035
Phone
(847) 784-8690
Fax
(847) 673-2312
NPI assigned
Apr 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 IL Primary

Addresses

Primary practice location

423 Central Ave
Suite 206
Northfield, IL 60093-3035

Mailing address

423 Central Ave
Suite 206
Northfield, IL 60093-3035
Phone (847) 784-8690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 13, 2022 through Jul 13, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149.008186ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Counseling and Psychotherapy Clinical Past 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": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649493495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 CENTRAL AVE",
            "address_2": "SUITE 206",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933035",
            "telephone_number": "847-784-8690",
            "fax_number": "847-673-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 CENTRAL AVE",
            "address_2": "SUITE 206",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933035",
            "telephone_number": "847-784-8690",
            "fax_number": "847-673-2312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "JULIE",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "M.S.W., L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, IL

Sources for this page

Verify at the official NPI Registry.