Marcia Levine, M.S.W.

Individual provider Active NPI Clinical Social Worker · South Burlington, VT

NPI 1790700235 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1790700235
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
0890001000 (VT)
Practice address
Chittenden Regional Correctional Facility
7 Farrell Street
South Burlington, VT 05403
Phone
(802) 859-3213
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
0890001000VTMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0890001000 VT Yes

Addresses

Primary practice location

Chittenden Regional Correctional Facility
7 Farrell Street
South Burlington, VT 05403

Mailing address

31 Forest St
Winooski, VT 05404-1905
Phone (802) 655-3957

Other identifiers

IdentifierTypeStateIssuer
1011060MedicaidVT

Other providers in South Burlington, VT

All providers in South Burlington, VT · Clinical Social Worker in Vermont

Sources for this page

Verify at the official NPI Registry.