Active NPI
Risa B Agin Levin, LCSW
- Counselor
- Rochelle Park, NJ
National Provider Identifier
1750400685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 44SC04902500
- Practice address
- 336 W Passaic St
4TH Floor
Rochelle Park, NJ 07662-3027 - Phone
- (201) 845-7030
- Fax
- (201) 845-0899
- NPI assigned
- Mar 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 44SC04902500 | NJ | Primary |
Addresses
Primary practice location
336 W Passaic St
4TH Floor
Rochelle Park, NJ 07662-3027
Mailing address
336 W Passaic St
4TH Floor
Rochelle Park, NJ 07662-3027
Phone (201) 845-7030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44SC04902500 | Other | NJ | NJ LCSW |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC04902500 | NJ | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750400685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "336 W PASSAIC ST",
"address_2": "4TH FLOOR",
"city": "ROCHELLE PARK",
"state": "NJ",
"postal_code": "076623027",
"telephone_number": "201-845-7030",
"fax_number": "201-845-0899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "336 W PASSAIC ST",
"address_2": "4TH FLOOR",
"city": "ROCHELLE PARK",
"state": "NJ",
"postal_code": "076623027",
"telephone_number": "201-845-7030",
"fax_number": "201-845-0899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGIN LEVIN",
"first_name": "RISA",
"middle_name": "B",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NJ",
"license": "44SC04902500",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NJ LCSW",
"identifier": "44SC04902500",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
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Sources for this page
- 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.