Charlyn Prather-Levinson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2007000451 Issued in MO

Practice address

17295 Chesterfield Airport Rd
Ste 200
Chesterfield, MO 63005-1423

Phone

(314) 920-6542

Fax

(636) 778-0871

NPI assigned

Jun 5, 2012

Last updated

Mar 4, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393891200000",
    "number": "1740541853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 FINCH CT",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630171708",
            "telephone_number": "314-920-6542",
            "fax_number": "636-778-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17295 CHESTERFIELD AIRPORT RD",
            "address_2": "STE 200",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051423",
            "telephone_number": "314-920-6542",
            "fax_number": "636-778-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATHER-LEVINSON",
        "first_name": "CHARLYN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-05",
        "last_updated": "2014-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2007000451",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149015505",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; 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.