Richard Michael Levy, MSW NY LCSW

Individual provider Active NPI Clinical Social Worker · Centerport, NY

NPI 1821165929 · NPPES record last updated Sep 11, 2025

Key facts

NPI
1821165929
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
R013564 (NY)
Practice address
410 E Main St
Centerport, NY 11721-1541
Phone
(631) 757-5555
Fax
(631) 757-5060
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
R013564NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Body Restoration Physical Therapy, PLLC Past
since Jun 22, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X R013564 NY
Clinical Social Worker 1041C0700X R013564 NY Yes

Addresses

Primary practice location

410 E Main St
Centerport, NY 11721-1541

Mailing address

21 Westfield Dr
Centerport, NY 11721-1541
Phone (631) 757-3772

Other providers in Centerport, NY

All providers in Centerport, NY · Clinical Social Worker in New York

Sources for this page

Verify at the official NPI Registry.