Collise Belansky Levan, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-2533 Issued in NM

Practice address

2211 Lomas Blvd NE
Box 200
Albuquerque, NM 87106-2745

Phone

(505) 272-4763

NPI assigned

Dec 11, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Collise Elizabeth Belansky Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699835546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 WALLACE AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871096451",
            "telephone_number": "505-823-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 LOMAS BLVD NE",
            "address_2": "BOX 200",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062745",
            "telephone_number": "505-272-4763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVAN",
        "first_name": "COLLISE",
        "middle_name": "BELANSKY",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-2533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER BILLING NUMBER",
            "identifier": "890285",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLISE",
            "last_name": "BELANSKY",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susan Leung
• Bart J. Leuser, LISW
• Melissa Leuzzi, PMHNP-BC
• Julian Lev, PH.D.
• Renee L Levaldo
• Alisa L Levandoski, PT
• Samantha Raeann Levantonio
• Charisse Levchak
• Level Acupuncture and Wellness LLC
• Level Physical Therapy LLC

• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.