Lisa Levine, LCSW

Individual provider Active NPI Clinical Social Worker · Castleton on Hudson, NY

NPI 1750712972 · NPPES record last updated Dec 13, 2013

Key facts

NPI
1750712972
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
R037836-1 (NY)
Practice address
1641 Midstate LN
Castleton on Hudson, NY 12033-1704
Phone
(518) 732-7569
NPI assigned
Dec 13, 2013
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
R037836-1NYMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R037836-1 NY Yes

Addresses

Primary practice location

1641 Midstate LN
Castleton on Hudson, NY 12033-1704

Mailing address

1641 Mid State Lane
Castleton-on-Hudson, NY 12033
Phone (518) 732-7569

Other providers in Castleton on Hudson, NY

All providers in Castleton on Hudson, NY · Clinical Social Worker in New York

Sources for this page

Verify at the official NPI Registry.